Medical Billing Specialist - Full-time / Part-time

Job Description

PRIMARY DUTIES/RESPONSIBILITIES:

• Analyze and prioritize work list based on departmental inflows and to minimize pre-billing write offs.
• Quality check of initial order release to ensure third party payer and coverage criteria is met
• Verify third party payer benefits and eligibility for subsequent rental cycles (online or telephonic).
• Prepares clean claim for billing.
• Review and analyze payer specific requirements and coverage criteria to determine required documentation and accurate billing criteria.
• Conduct in depth review of clinical documentation (medical records, prescriptions, operative reports, history and physicals) based on billing criteria.
• Call customer or field personnel to obtain missing documentation required for billing. Could include home health agencies, patients, hospital/facilities, physicians.
• Build support and maintain patient, physician, and third party payer loyalty and to increase the number of orders through enhanced customer services, customer relationship management, and technology utilization.
• Provides a high level of customer service in a competitive market.
• Acts as a resource for Sales and other cross functional departments to provide billing status and any other information.
• Participates in any and all reasonable work activities as may be deemed suitable and assigned by management.
• Conforms to, supports and enforces all Company policies and procedures.

QUALIFICATIONS:

1. REQUIRED QUALIFICATIONS:
2. a) BASIC QUALIFICATIONS

• High School Diploma or equivalent.
• Demonstrated customer service skills.
• Experience with Microsoft Office applications including: Word, Excel, Outlook.

1. b) OTHER REQUIRED QUALIFICATIONS

In addition to the basic qualifications listed above, the following other position qualifications are required:

• Demonstrated ability to interact with all employees and external business contacts while conveying a positive, service-oriented attitude.
• Demonstrated problem-solving skills.
• Demonstrated ability to work in a team environment, as well as, independently.
• Ability to multi-task and adapt in a fast paced and changing environment
• Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment.
• Ability to communicate effectively both verbally and in writing.
• Satisfactory completion of all training programs.

1. c) PREFERRED QUALIFICATIONS

In addition to the basic qualifications and other required qualifications listed above, the following preferred qualifications also exist:

• Two or more years of related health care experience.
• Call Center experience
• Some college course work completed

ESSENTIAL FUNCTIONS:

The positions essential function requires but is not limited to repetitive keyboarding over 95% of the time and phone usage 60% of the time.

Demonstrated keyboard proficiency

The information listed above is not a comprehensive list of all duties/responsibilities performed.

This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

Job: Customer Service

Schedule: Full-time

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Aerotek is acting as an Employment Agency in relation to this vacancy.