Job Description

Job Description

Job Description

TrueYou Center is a behavioral health service provider in DC, MD, and VA. We are seeking a detail-oriented and experienced Medical Billing Specialist/ Office Receptionist to join our team. The ideal candidate will have a strong background in medical billing procedures, excellent communication skills, and the ability to work effectively in a fast-paced environment. 

As a Medical Billing Specialist, you will be responsible for verifying benefits, accurately billing patients and insurance companies, resolving billing discrepancies and claim denials, and ensuring timely payments. As an Office Receptionist, you will be responsible for answer incoming calls/emails (both must be answered within 24 hours), Schedule/reschedule patients’ appointments, and Manage patient onboarding and uploading patient information into the EHR. YOU MUST LIVE IN CT, PA, MD, VA, or DC. if you do not live in the States stated your application will not be considered. 

 
NO PHONE CALLS OR EMAILS 

Responsibilities:

• Answer incoming calls/emails (both must be answered within 24 hours).
• Schedule/reschedule patients’ appointments. 
• Manage patient onboarding and uploading patient information into the EHR
• Involve in patient enrollment.
• Verify patient insurance coverage and eligibility.
• Communicate with patients, insurance companies, and healthcare providers regarding eligibility and coverage.Obtain pre-authorization.
• Generate and submit medical insurance claims accurately and in a timely manner.
• Review and appeal denied or rejected claims.
• Follow up on unpaid claims and overdue balances.
• Communicate with patients, insurance companies, and healthcare providers regarding billing inquiries and discrepancies.
• Maintain up-to-date knowledge of medical billing regulations and coding guidelines.
• Assist in resolving coding issues and billing disputes.
• Collect payments (copays, coinsurance, etc.)
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Communicate with insurance companies regarding Medical Records

Qualifications:

• Associate or bachelor’s degree preferred.
• Minimum of 1 years of experience in medical billing and coding
• Good understanding of eligibility and authorization.
• Experience in insurance verification and authorization processes.
• Proficiency in medical billing software and electronic health record (EHR) systems
• Knowledge of medical terminology, CPT and ICD-10.
• Strong attention to detail and accuracy
• Excellent communication and interpersonal skills
• Ability to self-start, multitask and prioritize workload effectively and always maintain professional conduct.
• Familiarity with the following MS Office Suite (Excel, Word, PowerPoint)
• Certification in medical billing and coding (e.g., CPC, CCS-P) preferred but not required.

YOU MUST LIVE IN CT, PA, MD, VA, or DC. if you do not live in the States stated your application will not be considered. 

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