Medical Billing and Payment Specialist

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Logo of MedCentris

MedCentris

201 - 500 employees

Founded 2009

🏥 Healthcare

🤝 B2B

Healthcare • B2B

MedCentris is a specialized healthcare provider focused on advanced chronic wound management and “Wound Medicine. ” The organization operates wound clinics across settings — including nursing homes, private offices, hospital-based clinics, home-care programs, and telewound services — and employs certified wound specialists to deliver individualized diagnosis, pain control, nutrition-focused care, and innovative treatments. MedCentris also partners with hospitals, physician practices, home health and hospice agencies to provide clinical and operational wound-care solutions and education.

📋 Description

• Accurately and timely post insurance payments, contractual adjustments, and denials through electronic remit stations and manual methods • Post miscellaneous payments to patient accounts through EFT, ERA, and other payment methods • Export 835 electronic payment files and resolve edits or report payer-file issues • Post non-EDI payments, contractual allowances, rejection codes, deductibles, and copayments • Obtain missing ERA/835/EOB documents from payers via portals or telephone • Research unidentified payments and recoupments for proper resolution and posting • Post payments to the practice management system within specified timelines • Record batch totals and balance batches using transaction reports • Verify EFT deposits and scanned checks are posted by month end • Identify and correct credit balances and posting errors • Maintain or exceed productivity goals and quality standards • Accept payments and process current patient billing statements when needed • Update spreadsheets and run daily posting reports for balancing • Perform other assigned duties

🎯 Requirements

• High School Diploma preferred • Two years of Medical Billing and Collection experience • Working knowledge of EOBs, EFTs, and ERAs • Knowledge of managed care contracts, Medicare, Medicaid, workers’ compensation, and private insurance carriers • Excellent attention to detail • Proficient use of Microsoft Office applications, including Word, Excel, and Outlook • Outstanding interpersonal skills and ability to work as a team player • Ability to work independently with a high degree of self-initiative • Excellent problem-solving abilities • Ability to work well under pressure and adapt to changing project priorities • Demonstrated understanding of medical terminology required • Knowledge of patient confidentiality and HIPAA regulations • Knowledge of CPT, HCPCS, and ICD-10 coding required • Knowledge of medical billing and collection practices • Knowledge of electronic health records (EHR/EMR) or healthcare-related computer systems • Ability to prioritize workload and use efficient work methods • Ability to sit, talk, and hear frequently • Ability to occasionally walk, handle or operate objects, tools, or controls, reach with hands and arms, and lift or move objects up to 25 pounds • Close vision and ability to adjust and focus • Ability to make decisions and concentrate continuously

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