Billing Specialist

5 days ago

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nimble solutions

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nimble solutions is a company focused on innovative online solutions, offering services related to payment processing, account management, and invoicing. It leverages web-based technologies to provide efficient and user-friendly platforms for managing financial transactions and accounts. The company aims to simplify complex billing and payment processes for businesses.

Ambulatory Surgery Centers • Complete Revenue Cycle Outsourcing • Coding • Billing • Revenue Cycle Management

1001 - 5000 employees

💸 Finance

💳 Fintech

☁️ SaaS

📋 Description

• The Pain Management Billing Specialist is responsible for identifying billing errors, analyzing trends, and making data-driven decisions. • This position requires a detail-oriented and experienced medical billing specialist who will work closely with the billing and coding departments to ensure that all relevant charges are billed appropriately. • Position requires a solid understanding of pain management/office procedures, as well as charge & payment department workflows. • Bill and claim review process to submit accurate medical claims to insurance companies, worker’s comp, attorneys, and No-fault carriers. • Oversee processes to ensure timely filing and clean claim submission. • Follow up on outstanding claims and denials, resolving issues and ensuring appropriate payments based on contracted rates. • Review and resolve claim rejections or underpayments, collaborating with insurance companies, patients, and provider office(s). • Manage patient inquiries regarding billing issues and open balance resolutions. • Monitor accounts receivables and ensure timely payment from insurance companies and patients. • Track the status of submitted claims, identifying and resolving any billing errors and rejections. • Identify and address outstanding accounts, follow up on overdue payments, and implement collection strategies when necessary.

🎯 Requirements

• High school diploma or equivalent • Certifications in medical billing preferred but not required • At least 2 years of experience in medical billing, with a focus in anesthesia preferred • Working knowledge of pain management and office procedure codes, terminology, and billing workflow preferred • Excellent attention to details and strong organizational skills • Working knowledge of Microsoft Word and Excel • Ability to communicate effectively with staff, patients, and client administration if needed