At a Glance
- Tasks: Join our team to manage medical billing processes and ensure accuracy in claims.
- Company: We are a healthcare provider in Lauderdale Lakes, dedicated to efficient revenue cycle management.
- Benefits: Enjoy a long-term contract with opportunities for professional growth and skill development.
- Why this job: Make a real impact in healthcare while working in a collaborative and supportive environment.
- Qualifications: Experience in medical billing, especially in nursing homes or hospitals, is preferred.
- Other info: Immediate hiring for motivated individuals ready to enhance their career in medical billing.
The predicted salary is between 36000 - 60000 £ per year.
Job Description
Responsibilities:
• Process commercial and managed care claims using specialized billing software, ensuring all data is accurately edited and reconciled.
• Monitor and follow up on outstanding claims over 30 days, resolving them efficiently while utilizing accounts receivable aging reports.
• Prepare detailed accounts receivable spreadsheets for assigned payers and participate in monthly review meetings with leadership.
• Manage detailed trial balances for accounts receivable, ensuring timely submission of claims, proper documentation, and compliance with payer contracts.
• Investigate and resolve denied claims, including clinical denials, through appeals processes while identifying trends and root causes.
• Submit appeals to payers within specified timelines, ensuring compliance with all requirements.
• Collaborate closely with facility departments such as admissions, case management, and medical records to support effective revenue cycle management.
• Identify and address systemic issues causing delays or underpayments, and recommend solutions to improve payment processes.
• Maintain proficiency in multiple systems and processes to support departmental operations and cross-functional knowledge.• Proven experience in medical billing and collections, with a focus on nursing home or hospital billing preferred.
• Familiarity with billing software such as Allscripts, Cerner Technologies, and Dynamic Data Exchange (DDE).
• Proficiency in electronic health record (EHR) systems and platforms like Epaces.
• Strong knowledge of accounts receivable management, including appeals and claim administration.
• Ability to handle billing functions efficiently, ensuring compliance with policies and payer contracts.
• Expertise in resolving medical claims and collections issues.
• Excellent communication skills to collaborate effectively with internal teams and external payers.
• Strong analytical skills to identify trends and systemic issues impacting revenue cycle performance.
Medical Billing Specialist (Hiring Immediately) employer: Rac
Contact Detail:
Rac Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Medical Billing Specialist (Hiring Immediately)
✨Tip Number 1
Familiarise yourself with the specific billing software mentioned in the job description, such as Allscripts and Cerner Technologies. Having hands-on experience or even completing online tutorials can give you a significant edge during interviews.
✨Tip Number 2
Network with professionals in the medical billing field, especially those who have experience in nursing home or hospital settings. Attend local healthcare events or join relevant online forums to gain insights and potentially get referrals.
✨Tip Number 3
Prepare to discuss your problem-solving skills, particularly in resolving denied claims. Think of specific examples from your past experiences where you successfully navigated complex billing issues and be ready to share these during your interview.
✨Tip Number 4
Research StudySmarter and our values, as well as the specifics of the role. Tailoring your conversation to align with our mission and demonstrating how your skills can contribute to our team will make a strong impression.
We think you need these skills to ace Medical Billing Specialist (Hiring Immediately)
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in medical billing and collections, especially in nursing home or hospital settings. Use keywords from the job description to demonstrate your fit for the role.
Craft a Compelling Cover Letter: Write a cover letter that showcases your passion for medical billing and your understanding of the revenue cycle management process. Mention specific experiences that align with the responsibilities listed in the job description.
Highlight Technical Skills: Emphasise your proficiency with billing software like Allscripts and Cerner Technologies, as well as your experience with electronic health record (EHR) systems. This will show that you are well-equipped for the technical aspects of the role.
Showcase Problem-Solving Abilities: Include examples in your application that demonstrate your ability to resolve denied claims and identify trends affecting revenue cycle performance. This will highlight your analytical skills and proactive approach.
How to prepare for a job interview at Rac
✨Showcase Your Billing Experience
Make sure to highlight your previous experience in medical billing, especially if you've worked in nursing homes or hospitals. Be prepared to discuss specific software you've used, like Allscripts or Cerner Technologies, and how you handled claims processing.
✨Demonstrate Problem-Solving Skills
Prepare examples of how you've resolved denied claims or addressed systemic issues in the billing process. Interviewers will appreciate your ability to identify trends and suggest solutions, so come ready with concrete instances from your past work.
✨Know Your Numbers
Familiarise yourself with accounts receivable management metrics and be ready to discuss how you've monitored and followed up on outstanding claims. Showing that you understand the financial side of medical billing can set you apart from other candidates.
✨Communicate Effectively
Since this role requires collaboration with various departments, practice articulating how you've worked with teams in the past. Strong communication skills are essential, so be prepared to demonstrate your ability to convey complex information clearly.