Medical Billing Specialist at TSAOG Orthopaedics & Spine

San Antonio, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

26 May, 26

Salary

26.5

Posted On

25 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Payment Collection, Payment Plans, Account Follow-up, Revenue Cycle Management, A/R Follow-up, Claim Resolution, Insurance Verification, Coding Review, Clinical Documentation, Claims Processing, Communication, Multi-tasking, Prioritization

Industry

Hospitals and Health Care

Description

Description Position Status: Full-Time Supervisor: Billing Manager Medical billing specialists are responsible for managing the flow of money into and out of an organization Duties: A medical billing specialist typically has a wide range of responsibilities, which can include but not limited to: Speaking with patients to collect payments for services rendered, negotiating payment plans with them, and following up on delinquent accounts Develop and maintain a comprehensive understanding of the revenue cycle process. Timely follow-up and resolution on all A/R including unpaid/underpaid/denied claims for all payers including self-pay to obtain maximum reimbursement. Manage daily work queue to prioritize high dollar claim balances. Review and work incoming insurance and patient correspondence including refund request. Working with insurance companies to determine coverage for medical procedures or treatments Consulting with hospital administrators regarding changes in regulations that may affect billing practices Reviewing claims to ensure that they are correctly coded according to industry standards Communicating with physicians’ offices to obtain clinical documentation needed to support claims Reviewing patient records to identify insurance coverage or possible treatment complications that could affect claims processing Reporting claims status to clients on a regular basis to ensure accurate communication between departments within a healthcare organization Requires predictable and consistent attendance Requirements What You’ll Need: Must have a High School Diploma or equivalent. 2-4 years of experience in the field or in a related area. Relies on experience and judgment to plan and accomplish goals. Familiar with standard concepts, practices, and procedures within realm of responsibility. Ability to read and interpret insurance explanation of benefits and managed care contracts. Must communicate effectively, both verbally and in writing, with internal and external clients Must be able to multi-task and handle competing priorities while meeting or exceeding deadlines #BackOffice4

Responsibilities

Medical billing specialists manage the flow of money by speaking with patients to collect payments, negotiating payment plans, and following up on delinquent accounts. Key duties include timely resolution of unpaid or denied claims across all payers and managing the daily work queue to prioritize high-dollar balances.