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Medical Billing Specialist

Assisted Billing | Greenville, SC | Full Time

Job Description

Summary

Our team created Fusion Web Clinic, an EMR for outpatient pediatric therapy. We are looking for an experienced Medical Biller to help manage billing services to our growing network of pediatric therapy companies.

Responsibilities

This position is responsible for billing services for our customers that would include the following:

  • Assist with the on-boarding of customers to our billing services
    • Set-up insurance payers / Medicaid at the clearinghouse
    • Prepare payer enrollments for ERAs
    • Create claim rule logic to automate claim processing
  • Troubleshoot and re-submit rejected and denied claims
    • Call payers to troubleshoot a variety of issues
    • Fix claims issues based on payer feedback
  • Process Payer Payments
    • Read, post, and finalize ERAs
    • Enter manual remits with accuracy
  • Provide phone and email support to assisted billing customers
  • Help to manage and monitor the effectiveness/efficiency of our billing services and advise when adjustments need to be made

Qualifications

This individual will need to be warm and friendly. Excellent communication skills (both verbal and written) are a must. Technical proficiency is a plus, but willingness and ability to learn are most important.

Required

  • Excellence in both written and verbal communication, as well as strong interpersonal skills
  • A teachable spirit with an ability to self-manage and self-motivate
  • Commitment to quality work with high attention to detail
  • Ability to recognize, recall, and retain customer specifics
  • Demonstrated problem solving skills, with excellence in critical thinking and analytical experience
  • In depth understanding of a CMS-1500 Claim Form
  • In depth understanding of Insurance and Medicaid reimbursement processes, including ERAs, EOBs, and authorizations

Desired

  • Experience managing insurance billing in an EMR
  • Experience with helpdesk tools
  • Experience in all Microsoft Office tools