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Medical Billing Specialist

About NightLight Pediatric Urgent Care

NightLight addresses an important need in the healthcare delivery system. We offer pediatric patients after hours care in a kid-friendly environment. Providing quality, affordable, compassionate services to children from newborn to 21 years. NightLight Pediatricians mentor and work with nurse practitioners or physician assistants depending on time and location.

Why NightLight is a Great Place to Work

We are a growing organization offering advancement opportunities

We offer a rewarding and fun work environment

About the Job

Medical Billing Specialist. Duties include, but are not limited to data entry of all patient demographic, guarantor and insurance information, posting procedures and insurance/patient payments, balance to daily deposits, consistently follow up on unpaid claims utilizing monthly aging reports, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with providers, clients, patients and fellow staff.

Essential Functions and Duties

 

  • Ensure all claims are submitted with a goal of zero errors
  • Verifies completeness and accuracy of all claims prior to submission
  • Accurately post all insurance payments by line item
  • Timely follow-up on insurance claim denials, exceptions or exclusions
  • Meet deadlines
  • Reading and interpreting insurance explanation of benefits
  • Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
  • Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies  
  • Respond to inquiries from insurance companies, patients, and providers
  • Regularly meet with Revenue Cycle Manager to discuss and resolve reimbursement issues or billing obstacles
  • Regularly attend monthly staff meetings and continuing education sessions as requested
  • Perform additional duties as requested by Team Lead or Management team

 

Minimum Education

  • High School Diploma or equivalent
  • Prefer Associates degree in Medical Billing and Coding or Accounting 

Position Requirements

  • 1-year minimum experience as a medical biller
  • Good understanding of Medicaid and all commercial insurance
  • Computer experience is essential, including, but not limited to practice management software, word processing, and spreadsheet applications, with a minimum of 40 wpm typing speed and 10-key by touch
  • Experience in CPT and ICD-10 coding; familiarity with medical terminology
  • Excellent customer service skills
  • Strong written and verbal communication skills
  • Ability to manage relationships with various Insurance payers
  • Experience in filing claim appeals with insurance companies to ensure maximum entitled reimbursement
  • Neat appearance; pleasant speaking voice and demeanor; positive attitude
  • Responsible use of confidential information and abide by all HIPPA laws   
  • Perform to company standards of compliance with policies and procedures
  • Highly organized with the ability to multi-task  effectively and 
  • Work courteously and respectfully with fellow employees, clients, and patient 
  • Willing to travel to all locations and run office errands when needed
  • Microsoft Windows - Intermediate in Microsoft Word and Excel
  • Must be able to attend quarterly staff meetings (4 Saturdays/year) and Front office/Billing meetings as necessary

 

 

Contact us today to learn more about how you can become part of the NightLight Pediatric Urgent Care family! 

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