Medical Billing Specialist

Quality Systems, Inc. ("QSI") and its wholly-owned subsidiary, NextGen Healthcare Information Systems, Inc. ("NextGen"), develop and provide computer-based practice management, medical records, and e-business applications for medical and dental group practices.

We have an exciting career opportunity for a Medical Billing Specialist. You will join a successful and dedicated team of professionals responsible for performing billing and collection activities for patient and insurance accounts. A primary focus of this role is to provide superior customer service, while building and maintaining effective working relationships with payers and/or clients. This is an exceptional opportunity if you are looking to start or expand your career in the dynamic, fast growing field of Healthcare Support and Service.

* Review unpaid accounts to determine status and appropriate action required from work lists generated from practice management system. * Contact payers, use facility correspondence, via website, phone and/or correspondence, regarding reimbursement for unpaid accounts. * Receive, review, research and respond to correspondence from insurance companies, attorneys and patients. * Research and follow-up on denials and requests for additional information utilizing the denial management reports and correspondence. * Work with other billing operations staff to enhance the collection process to ensure timely reimbursement on accounts. * Collaborate with management to identify payer trends and non-payment issues. * Contact patients as needed to collect appropriate information or to collect patient balances. * Identify, verify and document account adjustments according to established policy and procedure. * Ensure service level and productivity requirements are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries, etc. * Maintain positive working relationships with internal and external customers by providing superior customer service. * Utilize Medical and Billing Terminology. * Adhere to Clean Claims Act and HIPAA policy and procedures

* Minimum of one (1) year of billing/collections experience in a healthcare or insurance environment. College level education in Accounting, Finance, Medical Billing or Healthcare can be substituted on a year by year basis for experience. * Experience where medical billing /collecting and standard office practices and procedure were necessary. * High School Diploma or GED Certificate * Knowledge of accounting and math skills. * Knowledge of Medical and Billing Terminology. * Basic understanding of ICD-9/10 and CPT coding. * Intermediate knowledge of Excel and Windows based programs. * Ability to work independently as well as in a cross-functional team environment. * Collaborating with others and sharing skills and knowledge. * Strong problem-solving and analysis skills that demonstrate resourcefulness and initiative * Collections experience from multispecialty group for physician billing. * Experience performing A/R insurance follow-up. * Experience working with practice management software. * Experience working in accounting or a financial institution. * Experience working with NextGen software. * Knowledge of healthcare carriers and payer requirement. * Bachelor’s degree in Finance, Accounting or healthcare related field.