Medical Billing Specialist

Job Description:

A Medical Billing Specialist in the Voice Process handles patient and insurance inquiries over the phone, processes claims, reviews coding accuracy, and communicates with insurance companies for reimbursement.

Responsibilities

• Provide technical support to customers by researching and answering questions, troubleshooting problems, and optimizing software performance
• Provide outstanding customer service, including timely, concise, and accurate responses, and proactive customer issue management, while handling all customer requests in a professional, positive, and dignified manner
• Provide training and consultation
• Develop knowledge in other domain areas
• Begin working within additional service offerings (Live Chat, Concierge, Phone Line) and participating in NRR-based projects (LOE/SOW)
• Effectively communicate (verbal, listening, and written) with team, leadership, and customers
• Create a positive team environment with motivation and energy
• Gain and maintain the trust and confidence of team members by demonstrating integrity, accountability, and flexibility
• Utilize clearing house to process claims
• Resolve moderate to high complexity/priority requests with consistent quality

Qualifications

• Bachelors degree, or High School diploma with relevant EHR/Software customer service or behavioral health agency; experience may substitute for an undergraduate degree
• 5 years of related experience
• Medical Billing / RCM knowlegde is required

Knowledge, Skills, and Abilities

• Ability to ask probing questions based on effective listening
• Is on time and prepared for meetings; can make advanced arrangements when they are not available
• Is able to own and deliver on commitments
• Excellent communication skills
• Medical Billing / RCM knowlegde is required
• Can proactively assist teammates with request resolutions

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.