Employer: Ciox Health
Overview
Medical Billing Specialist is responsible for the complete revenue cycle process of claims submission and follow up which includes accurate interpretation of EOB’s, working credit balances, and resolution of patient billing concerns. Keep current with third party payer rules/regulations and maintains the focus of processing clean claim and reducing days in accounts receivable.
Responsibilities
- Enter charge posting from EOBs
- Follow-up charge review
- Responsible to process claims edits as needed
- Work credit balances
- Responds to patient questions and inquiries in regard to claims
- Data entry of claims into the computer system
Qualifications
- High school diploma or equivalent required.
- Required CPC-A or 2+ years of directly related work experience
- Familiarity with Hospital/Insurance computer system preferred.
- Must be able to effectively deal with insurance companies to understand benefits, deductibles, out of pocket expenses, and benefit limitations.
- Effective oral and written communication skills required.
- Knowledge of third-party payer billing rules and UB 04 and/or CMS 1500 bills preferred.
- Medical terminology and knowledge of CPT and diagnosis coding preferred.
- Excellent computers skills with the ability to work in multiple software packages and 10-key pad proficiency required.
- Detail orientated, analytical and ability to problem solve required.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.
