Benefits:

401(k)

Dental insurance

Health insurance

Paid time off

Job Summary

Medical Billing Specialist for a Well-Established Primary Care Physicians Office, centrally located in Las Vegas (Easily accessible to the 215 Freeway and Henderson) Required Qualifications/Skills/Experience:

Experienced full-cycle medical billing and coding practices.

Experienced in Medicare, Medicaid, and Commercial payer guidelines, including but not limited to Quality Care Measurements and reporting.

Experienced in CPT/ICD-10 coding, and diagnosis match-ups.

Experienced in Accounts Reconciliations, Accounts Payable, and Accounts Receivable.

Ability to read, comprehend and explain insurance and explanation of benefits.

Customer Service experience required.

Knowledge of billing, data entry, and basic computer functions, including but limited to EHR.

The ability to operate basic office equipment.

Data entry and 10 key experience.

Preferred Qualifications:

Primary care and assisted living billing preferred.

Nextgen billing system experience preferred.

Knowledge of authorizations, referrals, front office preferred.

Primary Responsibilities:

Medical billing, coding, and collection.

Submits claims electronically or manually.

Researches and resolves monthly aging reports, corrective claims, appeals, resubmits, using proactive follow-up for timely resolution.

Accesses clearing house, carriers, and other websites to analyze and reconcile accounts.

Sends and/or provides any needed supporting documentation to the insurance companies.

Assist with patient statements and collections

Calls and receives calls from insurance companies to determine status and compare payments on accounts.

Calls patients to assist in coordination of benefits and other tasks when necessary.

Documents and tracks actions taken on accounts in computer and tickler file.

Maintains proficiency in medical terminology.

Educates patients on billing information, payments due, and refers to collections when needed.

Provides superior customer service skills with internal and external clients and staff.

Demonstrate excellent communication skills in person and by phone.

Must be well organized and detail oriented.

Accounts payable and Accounts Receivable and/or coverage, or whenever skills are required.

This Medical Billing post is an essential position in the healthcare setting for the ongoing revenue and billing cycle. We seek a motivated team-player and problem-solver who will gainfully remain focused and productive while completing repetitive tasks and changing priorities. Billing assignments will be expected to be performed successfully.