Medical Billing A/R Specialist – FQHC Experience Required

Job not on LinkedIn

🔥 29 minutes ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Medic Management Group

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

💼 Consulting

🤝 B2B

Healthcare • Consulting • B2B

Medic Management Group is a company whose name indicates it provides management, administrative, or advisory services related to medical or healthcare operations. Public information supplied was limited (LinkedIn cookie/login content only), so this description is deliberately cautious: based on the name it likely supports healthcare providers, facilities, or programs with management, operational support, billing/administrative services, or consultancy rather than being a direct-care provider. Further public details would be needed to specify exact services or business model.

📋 Description

• Read and understand explanations of benefits to perform medical billing functions. • Knowledge of CPT, Modifiers, and ICD-10 codes. • Assure all charges are entered within 24-48 hours of receipt from the physicians/providers. • Make necessary changes to patient accounts (address, name, telephone number, and insurance changes, etc.) • Assure all claims are sent electronically on a daily basis. • Review and work claim edits and rejections on a daily basis. • Paper claims are sent on a weekly basis. • Patient statements are sent on a monthly basis or weekly based on volume. • Post all insurance and patient payments within 24-48 hours of receipt (batched by date of receipt and daily balancing is required). • Work all denials at the time of receipt. • Prepare and send appeals. • Begin insurance follow-up at 31 days for claims. • Answer telephone calls regarding all medical billing inquiries. • Submit copies of overpaid accounts to Billing Manager for review. • Work patient AR based on the practice policy. • Send accounts to collection based on practice policy. • Maintain strictest confidentiality of patient private health information (PHI) by disclosing only information requested. • Handle all electronic processes relating to claims submission, remit posting etc. • All practice records received should be scanned to client folders on the company network drives. • Performs additional duties as requested by upper management.

🎯 Requirements

• High school graduate or equivalent. • Requires minimum of 5 year experience in medical billing with at least 3 years experience in FQHC's. • Proficiency with A/R follow up required. • Knowledge of medical billing systems. • Knowledge of and experience with working unpaid claims for all insurance payers, Medicare, Medicaid, Bureau of Workers’ Comp. • Advanced knowledge of behavioral health insurance policies and carriers. • Familiar with local coverage determinations. • Understanding of how in and out-of-network benefits work and how customary rates work. • Previous experience in a customer service environment. • Ability to meet deadlines, production goals, and work under pressure. • Ability to read, understand and follow oral and written instructions; able to follow multiple practice policies. • Ability to professionally communicate with patients and co-workers on all medical billing inquiries. • Ability to communicate clearly and concisely using correct grammar, correct spelling and punctuation usage required in notes and emails. • Ability to multi task. • Ability to operate a telephone system. • Knowledge of using Microsoft Products (MS Outlook, MS Teams, Word, Excel software programs). • General knowledge of utilizing office equipment: computer, copier, fax, scanner.

🏖️ Benefits

• exceptional health benefits • ancillary benefits • 401(k) plan with a company match • generous amount of paid time off • seven paid holidays immediately available