Medical Billing Specialist

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🏈 Ohio, Pennsylvania, +2 more states – Remote

🏈 Ohio – Remote 🔔 Pennsylvania – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Humareso

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2012

👥 HR Tech

🎯 Recruiter

🤝 B2B

HR Tech • Recruitment • B2B

Humareso is a people-focused HR and recruiting firm that provides white-glove talent acquisition, HR outsourcing (HRO) solutions, payroll, benefits administration, compliance, and employee relations support for businesses. Founded in 2012 and led by an experienced recruiting leader, the company combines hands-on HR administration with strategic planning and candidate targeting to help organizations hire faster and build long-term, scalable HR strategies.

📋 Description

• Completes electronic and manual billing for all patient accounts in a timely manner. • Performs electronic billing via electronic health record and clearinghouses. • Demonstrates knowledge of HCFA 1500 billing criteria. • Demonstrates comprehensive ability and knowledge of electronic claims processing, electronic remittance advice, electronic payment posting, and clearinghouse functions. • Demonstrates knowledge of CPT-4, ICD-10, usage of modifiers, and HCPCs coding according to all federal and state regulatory guidelines. • Demonstrates a thorough knowledge and understanding of benefits and/or coverage as indicated by third party payer requirements. • Demonstrates in depth knowledge of insurance authorizations with relation to medical billing. • Performs and regularly updates insurance and physician credentialing to ensure timely processing and payment of claims. • Communicate with work partners to inform of instructions necessary to complete tasks in a timely fashion. • Promptly corrects and processes rejected, invalid or denied claims. • Effectively manages accounts receivable and collections for all assigned clients.

🎯 Requirements

• High school diploma or equivalent required • Medical Billing: 3 years • Two years claim processing in a physician setting required • Knowledge of the Medent, MicroMD, eClinical Works, Epic, NextGen and Change Healthcare Clearinghouse systems