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Medical Billing Specialist/Claim & Posting Clerk at South Heart Clinic

Harlingen, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

04 May, 26

Salary

0.0

Posted On

03 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Claim Submission, ERA Posting, Medicare A/R, Patient Management, Insurance Collections, Payment Arrangements, HIPAA Compliance, Communication, Problem Solving, Report Generation, Denial Management, Patient Counseling, Refund Processing, Office Equipment, Billing Questions

Industry

Medical Practices

Description

Position Summary Responsible for all claim submission, electronic and paper, ERA posting, Medicare A/R, and Medicare aging. Cross-trained to cover other billing department positions. Duties & Responsibilities include but are not limited to: Transmits claims daily and generates proper reports to ensure claims are submitted properly. Corrects rejected claims and communicates with staff accordingly to educate and correct issues. Responsible for keeping in contact with the patient management system, vendors, and clearinghouse on electronic changes, rejections, and denials or software problems regarding ERA's and claim submission. Responsible for making sure referrals and authorizations are attached to claims. Responsible for working and appealing Medicare denials, printing out secondary claims, and attaching Medicare explanation of benefits. Counseling patients in the office about account balances, making payment arrangements, and taking payments from patients. Attends to receptionist and patients incoming calls on billing questions. Responsible for posting electronic ERA's into the patient management system. Responsible for attending meetings and listening to webinars to keep up with Medicare/Medicaid changes, such as HMOs. Assists with patient credit reports and issues refund requests. Performs related work required or requested by providers or administrators. Practice and adhere to HIPPA regulations. Qualifications & Specifications Education-high school diploma or GED. Knowledge of basic office equipment including copier, fax machine, and computer. Experience-minimum of one to two years in insurance and collections

Responsibilities

The Medical Billing Specialist is responsible for claim submissions, both electronic and paper, as well as posting electronic remittance advice (ERA) and managing Medicare accounts receivable. The role includes correcting rejected claims, communicating with staff, and counseling patients regarding their account balances.