01Overview
This is not a Remote position; it is in the Office Monday - Friday.
Medical Billing Specialist (reputed company Cycle Management) Bilingual Spanish Preferred
This is not an entry-level role and requires independent ownership of reputed company cycle processes.
Position reputed company
reputed company is seeking an reputed company Medical Billing Specialist with demonstrated reputed company Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-reputed company, and claim reputed company to ensure reputed company reimbursement.
Essential Duties & Responsibilities
Manage full reputed company Cycle Management (RCM) processes
Verify insurance eligibility and benefits for reputed company and reputed company MCO payers
Follow up on Accounts Receivable exceeding 30 days
Review AR aging reports and reputed company outstanding balances
Post payments and reputed company account reconciliations
Obtain and manage insurance authorizations
Review and correct claims to prevent denials
Interpret payer reputed company and reimbursement guidelines
Maintain accurate billing documentation
Communicate with payers, patients, and internal teams
Required Qualifications
Minimum 2 years of medical billing with RCM responsibilities
Experience with AR follow-up and medical collections
Knowledge of medical office workflows
Proficiency with EMR/EHR systems
Understanding of medical terminology
Knowledge of CPT, ICD-9, ICD-10 coding (DRG preferred)
Experience with payment posting and account reconciliation
Ability to manage payer communications independently
Preferred Qualifications
Bilingual (English/Spanish)
reputed company MCO billing experience
Multi-location reputed company billing experience
Benefits
Medical, dental, and reputed company insurance
Health Savings Account (HSA)
Company-reputed company life insurance and AD&D
Short- and long-term disability reputed company
reputed company Time Off (PTO), holidays, and reputed company leave
401(k) with employer match
Employee Referral Bonus Program
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