Medical Billing Specialist

Makar Eyecare - Anchorage, AK

Full-time - Mid Level

Anchorage, AK

1-10 employees

Ambulatory Health Care Services

About the position

Makar Eyecare is seeking a skilled Medical Biller to join their team in Anchorage, AK. This full-time position involves working closely with doctors and staff to ensure optimal patient experiences and efficient claim processing. The role requires a professional with technical competencies and a customer service-oriented attitude, contributing to the clinic's mission of providing high-quality community healthcare.

Responsibilities

• Post insurance and patient payments.
• Submit documentation to ensure claims are submitted correctly.
• Monitor and verify correct payment of claims.
• Analyze and resolve claim rejections and denials.
• Follow up on claim status.
• File and appeal claims.
• Call patients regarding past due balances.
• Identify and process refunds.
• Identify and audit insurance overpayments and initiate recoveries.
• Answer patient questions and resolve billing complaints.
• Prepare and assemble financial logs.
• Complete assigned Provider audits and update spreadsheets.
• Ensure in-house accounts are submitted to carriers.
• Submit paper claims to non-electronic carriers with required documentation.
• Assist with prior authorizations from various insurance payers.
• Correct errors to ensure claims are submitted correctly.
• Maintain assigned Office Queue in EHR.
• Research adjustments and denials, identify trends, coding issues, and obstacles for payment.
• Assist with collections on accounts until resolved.
• Process patient and insurance payments, credits, refunds, and corrections.

Requirements

• Experience in Medical Billing
• High school diploma or GED
• Excellent time management skills
• Exceptional communication skills
• Positive attitude
• Detail-oriented
• Ability to multi-task
• Exceptional customer service skills
• Ability to utilize payer websites
• Knowledge of HIPAA

Nice-to-haves

• Background in Audit Review
• Understanding of insurance policies and coverages
• Excellent writing and verbal skills
• Strong math skills
• Healthcare/Medical Billing background
• High level organizational skills
• Self-motivation to work independently
• Ability to develop and maintain strong business relationships with patients
• Knowledge of posting/billing of services
• Knowledge of auditing, collections, A/R
• Knowledge of CPT/ICD-10 codes

Benefits

• 401(k)
• 401(k) matching
• Employee discount
• Health insurance
• Paid time off
• Vision insurance