medical billing specialist.

The Billing Specialist is responsible to provide support to providers, coworkers and customers internally and externally on billing related inquiries. The employee works/reviews all claims prior to their submission using department guidelines and Athena.

Responsibilities:
Demonstrate excellent interpersonal skills with patients, coworkers and insurance carriers.
Well-versed with all HIPAA Guidelines to ensure the protection of patient information from unauthorized inquiries.
Process and post payments when necessary
Works hold accounts in Athena within a timely manner
Resolve patient complaints within a minimal timeframe, same day whenever possible
Meet timelines for reprocessing Athena claims after updating the account with new information as provided by patients or physicians within the guidelines and timeframes permitted by the insurance carrier
Advanced knowledge of CPT codes and modifiers
Phones answered & voicemails returned within same day
Claim adjudication carrier rules knowledge
Meets or Exceeds monthly performance goals, expectations and reviews
Uses Paid Time Off effectively
Keeps overtime to a minimum/has any overtime approved by Director
Actively participates in team meetings and educational opportunities
Performs other duties as assigned.
Must be responsible for the assignment of accurate ICD diagnoses, CPT, HCPCS, and modifiers.
Able to abstract code from medical records, reports, and related patient documentation.

Working hours: 8:00 AM - 5:00 PM

Skills:
Thorough knowledge of insurance carrier billing and reimbursement, CPT, modifiers and fee schedule differences.
Requires understanding of how to decipher explanation of benefits and explain the impact to the customer.

Education:
High School

Experience:
1-4 years

Qualifications:
Effectively uses Electronic Health Records
Typing Skills
Proficient oral and written communications, and project management skills.
Excellent attention to detail, problem-solving and customer service


Join our team and contribute to the efficient operation of our partners medical office while ensuring accurate reimbursement for healthcare services. Apply Today!

Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including health, and an incentive and recognition program (all benefits are based on eligibility).