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Medical/Healthcare Billing Specialist
| Company | Baxter International |
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| Location | Houston, TX, USA |
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| Salary | $43200 – $59400 |
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| Type | Full-Time |
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| Degrees | Associate’s |
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| Experience Level | Mid Level |
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Requirements
- High school diploma or equivalent required; associate’s degree or higher preferred
- 3+ years of experience in a medical related business environment required
- Billing database software experience required
- Proven data entry skills required
- Strong attention to detail and accuracy
- Ability to work independently and manage workload
- Strong written, verbal, and interpersonal communications
- Must be proficient in Microsoft Excel
Responsibilities
- Review supporting documentation and posted charges for completeness and accuracy. Identify missing / inaccurate information and gather / correct, as necessary, following billing guidelines.
- Complete quality review of patient files to ensure claims are billed accurately and align with each payer’s rules and regulations.
- Perform necessary follow-up functions for the timely processing of claims, including EDI submission via clearinghouse, printing of claims, sorting attachments, and mailing when applicable.
- Assist with handling un billable revenue, clearinghouse rejected claims, and other reports daily, and provide updates to management as needed.
- Reference reimbursement policies/procedures assigned to this role and maintain current knowledge with changes in billing regulations, insurance-specific policies, and company policy and procedures.
- Identify any areas of opportunity for improved documentation or efficiency in daily work and communicate back to the billing supervisor.
- Follow up on unbilled claims within the required billing time frames
- Perform other projects and duties as assigned.
Preferred Qualifications
- Clearinghouse and payer portal experience preferred
- Knowledge of insurance industry and third-party payer processes
