Medical Billing Specialist (Temp-to-Hire)

Blue Star Partners LLC

Medical Billing Specialist (Temp-to-Hire)

Livermore, CA +1 location
Full Time
Paid
  • Responsibilities

    Job Title: Medical Billing Specialist
    Location: Gainesville, FL – Onsite – Local candidates only
    Period: 12/20/2024 to 04/30/2025 - possibility of extension **
    **Hours/Week: 40 hours
    Rate: $17-$18/hour (Hours over 40 will be paid at Time and a Half)
    Contract Type: W-2

    Scope of Services:

    The Medical Billing Specialist is a pivotal member of our team, ensuring that the company meets its monthly financial goals. This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements.

    Role, Responsibilities, and Deliverables:

    • Ensure compliance with HIPAA and PHI regulatory policies and practices throughout all phases of client information processing.
    • Report any compliance issues to the Director of Operations promptly.
    • Coordinate the insurance verification process, ensuring clarity for clients regarding their co-pay responsibilities.
    • Facilitate the collection of co-pays through timely follow-up.
    • Gather credit card or other payment processing information from clients as necessary and enter it into the system for payment processing.
    • Manage the timely entry of client information into the computer system, ensuring accuracy and completeness, and obtain any missing information needed to set up clients for service.
    • Confirm all sales orders in the system and ensure that all required documentation (e.g., proof of delivery, signed prescriptions, signed acknowledgment forms) is on file before submitting claims for payment.
    • Follow up on missing sales orders and reconcile billing questions regularly until payment status is complete.
    • Submit claims (electronic and paper) to payers in a timely manner, correcting and resubmitting front-end and back-end rejected claims as needed.
    • Ensure all cash is posted to the correct account promptly.
    • Follow up and collect payments due to the organization in a timely manner by generating invoices and following up with clients and/or payers.
    • Stay updated on current regulatory guidelines and reimbursement information to ensure accurate billing and reimbursement.
    • Perform other duties/projects as assigned by management, including customer service support, processing, resolving, and logging customer inquiries.

    Key Skills and Competencies:

    • Attention to detail, ensuring accuracy in all tasks.
    • Excellent communication and listening skills.
    • Proficient in documenting accounts with detail and critical thinking.
    • Ability to read an explanation of benefits (EOB).
    • Strong analytical skills for effective collections management.
    • Familiarity with various tools and systems used in medical billing.
    • Proven problem-solving skills to overcome challenges in the billing process.
    • Exceptional customer service skills to maintain positive relationships with customers and payers.
    • Effective time management to prioritize tasks and meet deadlines.
    • Excellent attendance record.

    Education & Experience:

    • Minimum of 2 years of experience in medical billing or related field.
    • Proficiency in medical billing software systems such as [insert specific software names].
    • Demonstrated understanding of HIPAA and PHI regulatory requirements.
    • Experience in coordinating insurance verification processes and managing co-pay collections.
    • Proven track record of accurately entering and managing client information in computer systems.
    • Familiarity with claim submission processes and experience in correcting and resubmitting rejected claims.
    • Strong communication skills with the ability to effectively interact with clients, payers, and internal teams.
    • Prior experience in handling customer inquiries and providing excellent customer service.
    • Ability to work independently and as part of a team in a fast-paced environment.
    • Previous training or certification in medical billing or related field is a plus.
  • Locations
    Livermore, CA • Gainesville, FL