Medical Billing Specialist
1 week ago
We are seeking a detail oriented and experienced Medical Billing Specialist to manage and oversee the billing process for our emergency medical services. This role is crucial in ensuring that our services are billed accurately and efficiently, allowing us to focus on our mission of delivering life saving care.
Key Responsibilities
- Accurately process and submit insurance claims for ambulance services, including Medi care, medical aid and private insurance.
- Review and ensure the correctness of patients records and billing information.
- Knowledge of medical codes for submitting claims to medical aid and insurance companies.
- Resolve billing discrepancies and appeal denied claims.
- Maintain accurate and up to date billing records
- Understanding the revenue cycle and collect on aging medical insurance claims
- Verify patient information and benefits
- Collaborate with finance and customer service teams to ensure seamless billing operations
- Follow up on all billing related appeals
- Process insurance refunds and reconcile patients account in billing system
- Strong verbal and communication skills
- Understanding of managed care, Medicare and Medical aid billing and reimbursement guidelines.
- 3 years of work experience with medical billing and coding for EMS or ambulance claims required.
- Review edits and rejections stemming from electronic submissions
- Knowledge of the healthcare industry
- Strong analytical thinking
- Excellent organizational, time management and problem solving skills.
- Knowledge of latest collection principles and procedures.
- Ability to handle multiple projects and issues at a time.
- Foster good relationships with medical aid companies and other stakeholders.
- Assist patients with completing all necessary forms to include payment arrangements etc.
- Maintain compliance with the POPI act with patients details.
- Serves as a member of the front end team
- Assist in coordinating outreach events and assist in preparations for these.
- Assist with any administrative task as back up support
- Insurance guidelines regarding claims
Application Question(s):
- Proven track record of EMS medical billing
**Experience**:
- Medical Billing: 3 years (required)
Application Deadline: 2025/01/31
Expected Start Date: 2025/02/03
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