Medical Billing Specialist

Quality Systems, Inc

(St Louis, Missouri)

Full Time

Job Posting Details

About Quality Systems, Inc

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.

Summary

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.

Responsibilities

* 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

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

Ideal Candidate

* 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.

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.