Medical Billing Specialist
About us

Potomac Pediatrics is a small business in Rockville, MD 20850. We are rewarding and challenging.

Our work environment includes:

• Relaxed atmosphere
• Food provided

Fast-paced pediatric office seeking a full-time Medical Billing Specialist:

Primary responsibilities include but are not limited to the following:

• Daily Charge verification to include fee ticket and progress note reconciliation for accuracy
• Daily Claims creation and submission
• Managing clearinghouse rejections
• Daily eligibility verification
• Denial Management
• A/R Follow-up
• ERA and manual EOB posting
• Patient Statement generation and management
• Processing and posting patient payments
• Customer Service- patient account inquiry and resolution (via email, phone, and in person).
• Other duties as assigned

Education/ Experience:

• Minimum of high school diploma with Five (5) years’ experience in healthcare billing; or the completion of a medical billing coding school program.
• Billing, collections and coding experience

Performance Requirements:

Knowledge:

• Knowledge of medical practices, terminology and reimbursement/payer policies.
• Knowledge of A/R workflows and requirements by insurance carrier
• Broad-based knowledge of relevant insurance regulations and familiarity with the Health Insurance Portability and Accountability Act (HIPAA).

Skills:

• Skill in planning, organizing and prioritizing.
• Skill in problem solving and conflict resolution.
• Skill in verbal and written communication.
• Skill in establishing and maintaining effective working relationships with other employees, policy making bodies, third party payers, patients, organizations and the public.
• Skill in analyzing situations accurately and taking effective action.
• Skill in organizing work, making assignments and achieving goals/objectives in a timely manner.

Physical:

• Must be able to constantly operate a computer greater than 50% of the time.
• Must be able to converse with patients, their parents, and colleagues greater than 50% of the time.
• Must be able to wear appropriate PPE for long durations.

Abilities:

• Ability to read, interpret and apply policies and procedures.
• Ability to set priorities among multiple requests.
• Ability to interact with patients, medical and administrative staff and the public effectively.
• Ability to communicate in writing, over the telephone and in person with office staff, insurance representatives and patients.
• Ability to recognize, evaluate, solve problems and correct errors.

Equipment & Software Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones; eClinicalWorks (ECW), Excel, Word.

Benefits:

• Medical with Health Savings Account
• Dental
• Vision
• 401K
• Discounted Gold's Gym Membership
• STD/LTD Insurance
• Opportunities for growth and advancement

Potomac Pediatrics believes that each employee makes a significant contribution to the success of the practice. That contribution should not be limited by the assigned responsibilities; therefore, this position description is designed to outline primary duties, qualifications, and job scope, but not limit the employee nor Potomac Pediatrics to the work identified. It is the practice’s expectation that each employee will aid whenever necessary to ensure the success of the practice’s endeavors.

The ideal candidate is outgoing, takes initiative to complete tasks, communicates well with parents, patients, and coworkers. Must have good chemistry with the office staff. Please apply by submitting your resume as a PDF attachment.

Qualified candidates will be contacted for a phone screening.

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Experience:

• ICD-10: 1 year (Preferred)

Work Location: One location

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