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Medical Billing Specialist

Company: Vali Medical Llc
Location: Royal Oak
Posted on: January 16, 2022

Job Description:

Reports To: Site ManagerFLSA Status: Non-ExemptSalary Range - $41,600 to $55,000
Job SummaryPatient specialist works with patients, internal staff, insurance payers, and clearinghouses to facilitate all aspects of the billing claim process.Includes but not limited to, referrals, prior authorization, insurance verification, claim submission, denial resolution, customer and/or insurance payer inquiries.
Mission StatementVali Medical improves the quality of care, through excellence in education, technology, continuity of care, patient engagement, to promote positive outcomes.Vali Medical has seen an explosion in growth and rapidly expanding their teams.
OVERVIEW:Duties, functions and responsibilities:

  • Process patient eligibility through various third-party sources for primary and secondary providers;
  • Prepare proper coding and submit claims through the client EMRs and internal billing systems either through electronically or by paper submission;
  • Work with patients, to ensure appropriate collection of patient responsibility (co-pays, deductibles, etc);
  • Handles patient inquiries and answers questions from internal staff and insurance companies;
  • Review denials, identify patient issues, work with patients/payers to issue adjusts, corrected, and/or rebilled claims;
  • Manage monthly patient statement and mailing processes;
  • Work with clearinghouse to enroll providers, including electronic ERA and deposits setups; correspond with and provide updates to insurances for internal billing systems;
  • Maintain annual HIPAA certification and adhere to all HIPAA and PHI guidelines/regulations;
  • Manage internal monthly/quarterly reporting procedures.
    Required Qualifications
    • Knowledge of medical billing / collection practices required;
    • Work well in team and deadline driven environment;
    • Strong attention to detail, accuracy, and analytical skills required;
    • Capable of making timely, independent decisions;
    • Experience working with Medicare and commercial insurance payers;
    • Excellent organizational skills, and Proficiency in Microsoft Office Suite;
    • Associate's degree or equivalent experience and certifications in a health care settings; customer-focused interpersonal and communication skills; computer literacy; ability to enter a substantial amount of data while maintaining a high level of accuracy;
    • Previous medical billing experience including knowledge of billing related reporting; 1 - 2 years experience in health-care billing & collection practices preferred;
    • Two years of work experience in an office or customer service setting with an outstanding record of attendance and punctuality;
    • Demonstrated Intermediate knowledge of patient EMR systems
      Desired Qualifications
      • Work experience in a health care setting; registration, billing, and patient care experience; knowledge of group health plans, HIPAA and PHI policies, procedures, regulatory requirements and information systems;
      • Two years of work experience in an office or customer service setting with an outstanding record of attendance and punctuality and accuracy;
      • Ability to work collaboratively in a team-focused environment;
      • Experience with various EMR systems, such as, eClinical, EPIC, NextGen, AdvancedMd, GEMMS, Kareo, Practice Fusion, or Athena preferred, but not required;
      • Associate's or Bachelor's degree or equivalent experience and education.
        Work Schedule
        • Hours: 8:00am to 5:00pm or 9:00am - 6:00pm on weekdays
        • Work at Office in downtown Royal OakBenefits Summary
          • Paid Time Off Vacation/sick days/ holidays
          • Medical/Vision/Prescription/Dental Plans
          • Life Insurance/Disability
          • 401(k) with Employer Match
            This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information Jobble

Keywords: Vali Medical Llc, Royal Oak , Medical Billing Specialist, Accounting, Auditing , Royal Oak, Michigan

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