7 medical billing specialist jobs found in Monroeville, PA

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an experienced Medical Billing Specialist with a strong background in submitting claims, possessing knowledge of ICD and HCPCS codes, chart review, and editing. The ideal candidate should have practical billing experience, focusing on billing responsibilities rather than A/R. Key Responsibilities Secure prior authorizations for injectable medications. Check insurance eligibility before visits. Post electronic payments, credit card payments, and window payments. Post charges and work through denials. Manage collections through the Medicaid portal. Work with specialty pharmacies to acquire injectables. Perform posting charges in the electronic practice management system. Resolve payer issues and answer patient invoice questions. Conduct internal audits comparing encounter forms with medical...

Medix - 300 Oxford Dr [Billing Clerk / Invoice Creator] As a Medical Billing Specialist at Medix, you'll: Process insurance claims and patient billing efficiently; Ensure accurate coding and data entry for medical procedures; Communicate with healthcare providers to resolve billing discrepancies; Maintain patient confidentiality and adhere to HIPAA regulations; Update patient accounts and manage payment collections; Collaborate with team members to improve billing processes and reduce errors...Hiring Immediately >>

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider. Summary: AS A BILLING SPECIALIST I, you'll be responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position requires an expert in determining the optimal combination off re-billing, collecting, and required payments follow up activities. This position provides pertinent and timely education to medical practice office staff to assure accurate claims submission. This position interprets all contracts and determines the correct and timely payment and ensures the work-flow of the billing department runs smoothly. Other information: -High School Diploma or Equivalent, Required -Computer skills in Microsoft with emphasis in Excel -Associates Degree in Business...

Purpose: Same responsibilities as Coder II. Responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. Provides training on code selection for new and existing staff. Investigate and resolve reimbursement issues, including denials, in a timely...

ABA Billing Specialist Key Responsibilities: Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers Verify insurance eligibility and benefits for new and existing clients Track and follow up on unpaid or denied claims; initiate appeals as needed Manage authorizations, re-authorizations, and documentation requirements for ongoing services Reconcile payments, post EOBs, and generate client invoices as needed Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155) Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations Requirements: 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice) In-depth knowledge of ABA billing codes, modifiers, and...

Purpose: OUTPATIENT SDS CODING, with IR/IC Experience: Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and observation hours. Responsibilities: Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines...

Purpose: OUTPATIENT SDS CODING, with IR/IC Experience: Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and observation hours. Responsibilities: Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant...