Join the Magruder Team!
$2,500 Sign On Bonus!
Improving Lives Together
Magruder Hospital offers competitive wages with a comprehensive benefit package available to both full-time and part-time employees. We provide a full health plan and generous time off that includes Holidays, Vacation, Sick, Personal, and even your Birthday! Our culture and family friendly work environment truly set us apart- apply today for an opportunity to join our team and help serve this great community!
Position Summary:
We are seeking a Medical Billing Specialist to manage insurance billing for hospital and provider services. This role ensures accurate claim submission, timely follow-up, and compliance with all regulatory requirements. The ideal candidate has experience in healthcare billing, insurance claims processing, and a strong understanding of the Revenue Cycle.
Key Responsibilities:
- Submit and follow up on insurance claims for hospital and provider services until payment is received.
- Secure required medical documentation for third-party insurance carriers.
- Resolve patient billing inquiries, denials, and payment discrepancies.
- Accurately enter charges, payments, adjustments, and claim corrections in electronic systems.
- Complete initial and secondary billing, including electronic and paper claims.
- Ensure compliance with CPT coding, pre-certification, and payer requirements.
- Monitor and reduce accounts receivable days through timely follow-up.
- Verify HMO, PPO, and managed care payments and contractual adjustments.
- Identify and process credit balances for refunds or transfers.
- Collaborate with Health Information Coders and other departments for diagnosis follow-up.
- Maintain compliance with HIPAA, Joint Commission, and corporate policies.
- Report recurring errors and assist with posting issues as needed.
- Prioritize workload effectively and work both independently and as part of a team.
- Communicate clearly in writing and verbally with patients, payers, and internal teams.
Why Join Us?
- Competitive pay and benefits.
- Collaborative team environment.
- Opportunity to make a meaningful impact in healthcare finance.
- High School Diploma or GED equivalent.
- Excellent typing, data entry, math, analytical, customer, stress management, organizational and problem-solving skills.
- Proficient in the use of personal computers and various types of office equipment. Has a strong working knowledge of PC based Word Processing and Spreadsheet applications, preferably Microsoft Office products (Word, Excel, Outlook).
- Ability to work in a safe and efficient manner and maintain an accident-free workplace, including ability to demonstrate a working knowledge of Magruder Hospital emergency codes.
- Strong working knowledge of departmental policies, procedures and business operations and how they interrelate to other departments in the organization.
- Strong knowledge of insurance and/or account follow-up.
- General knowledge of accounting systems and procedures.
- Must be able to see, hear, respond, and communicate efficiently to the customer, patients and to calls received. Must be able to interact efficiently with others.
- Must be detail-oriented to research accounts to determine proper payment and verify correct adjustments for accounts.
- Must have the ability to deal with constant interruptions with poise, tact, and professionalism, while maintaining a positive image for the hospital.
- Knowledge and understanding of billing form UB-04, 1500 and ICD-10 Coding.
- Knowledge of hospital and/or medical billing and insurance claim filing.
- Insurance and/or account follow-up.
- Knowledge of medical and insurance terminology.
- Participant in special workshops of training sessions in Medicare, Medicaid and non-government payers procedures to maintain a current, knowledgeable position relative to these procedures.
- Third party billing and collections
- Basic knowledge of medical and insurance terminology.
- Minimum 1 year experience in a Customer Service setting.
- 1 year hospital billing business office experience.
- Maintains a positive impression at all times.
Preferred:
- Associates Degree in Medical Billing and Coding or related field
- Knowledge of automated systems preferred
