Sr. Medical Billing Specialist
Current• Handles accounts for patients insured by state and federal government programs. • Oversees claim submission process to ensure that all program guidelines are followed. • Reviews collections to determine that maximum and accurate payment was made by government plans.• Processing front end rejections and denials. • Reviewing radiology reports and correct usage of modifiers. • Responsible for reviewing system work files to identify billing issues • Communicate with insurance companies via insurance company websites and telephone for status on outstanding claims and to resolve billing issues • Adhere to the billing requirements for commercial, managed care, Medicare, Medicaid, Blue Cross/Blue Shield payers • Work daily correspondence work files and respond to inquiries or follow-up to requests by insurance companies and insured parties • Process and follow-up on appeals to insurance companies • Apply strong problem solving skills to identify unique billing situations that would require the attention of management • Research and resolve accounts receivable issues with members of the billing department • Provide information on clients to Client Service Management. • Perform other special projects as assigned