Job Description

Job Description

Job Description

Black River Health is seeking a highly motivated individual to fill the full-time Medical Billing Specialist position. The Medical Billing Specialist ensures accurate billing and timely submission of claims, monitors claim status, researches rejections and denials, and posts adjustments required by associated payors. This position is primarily located at Black River Health’s 8th Street location.

This position is: ON-SITE

• Full-time, 80-hour per pay period, Monday – Friday, benefited

Top candidates will possess:

• A solid understanding of basic medical and billing terminology
• Experience in managing denied claims and handling denial management
• Proficiency in distinguishing between UB and CMS-1500 claim forms
• Experience interacting with representatives from various health plans
• The ability to interpret Explanation of Benefits (EOB) statements to assess proper reimbursement
• Familiarity with billing codes

Essential Duties:

• Corrects, completes, and processes claims for all payors according to established standards. Medicare claim processing experience is a plus.
• Performs follow-up with payors on unpaid accounts identified through aging reports.
• Demonstrates thorough knowledge and understanding of billing policies and procedures (editing, denial management, appeal processing).
• Answers/Responds to correspondence/calls/concerns related to patient accounts.
• Accurately reviews payor contracts to ensure appropriate reimbursement on claims.

Educational Qualifications:

• Minimum of 1 year of prior medical billing experience required; 2 years preferred
• High School Diploma or General Education Degree (GED)
• Proficiently uses computer, keyboard, and calculator
• Excellent oral and written communication skills

Make Black River Health your home, we make transitions seamless. You will also appreciate excellent benefits, a positive and pleasant healthcare environment that values teamwork, and a passionate focus on patient care. Now is your chance to join this new and exciting opening at Black River Health.

"Black River Health, Inc. is an equal employment opportunity employer functioning under an Affirmative Action Plan."

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