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Medical Billing Specialist


Richmond, Virginia


Medical Billing Specialist Job Opening in Richmond, Virginia - ncgCARE is the proud parent of a diverse network of behavioral healthcare organizations specializing in various services to include Outpatient counseling, Community Based Counseling, Therapeutic Day Treatment and Treatment Foster Care.
Through our network of providers, ncgCARE is leading the way to excellence in behavioral healthcare. We provide the foundation for our provider partners to succeed through innovation, service excellence, best practice development, and a strong commitment to our employees.
ncgCARE invites you to be part of our tradition of providing excellent CARE by applying to our full-time Medical Billing Specialist opportunities in Richmond, VA. Under the general direction of the Billing Manager, the Medical Billing Specialist performs all duties necessary to properly bill for and collect all client Accounts Receivable.
DUTIES AND RESPONSIBILITIES:
Each week, batch Medicaid claims for assigned Program and/or payer.
Routinely drop 835 files to Medicaid and all Commercial payers by direct submission or through a clearinghouse.
Post any checks received by mail, EFT or credit card.
Contact payers, as necessary, for additional information to post all payments received to the appropriate account.
Upload 835 files for posting to Medicaid and all Commercial payers.
Monthly, or as scheduled, batch and submit invoices to local government funders.
Review insurance pending report weekly to identify any rejections. Once a rejection is identified, contact the payer to identify the problem and make any corrections and resubmit the claim electronically.
Total and scan all checks received by mail daily.
Create a statement in Credible for patient due balances and mail once the insurance has made payment.
Work aging report weekly to identify and collect patient due balances. This includes sending statements, setting up payment plans or determining if an account should be turned over to an outside collection agency per the Finance Departmental policy.
Research all denials for resolution. All write offs are to be documented, entered into Credible and sent to the Billing Manger and/or the Accounting Manager for approval.
Answer all incoming calls promptly from clients or payers with billing questions.
EDUCATION AND EXPERIENCE :
Bachelor?s Degree in Accounting or Business discipline OR 3+ years of work experience in medical billing and posting preferred.
Job Type: Full-time
Job Location:
Richmond, VA
Required education:
Bachelor's
Required experience:
medical billing and posting: 3 years

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