Revenue Cycle Specialist

Job description

MDB Health Services Overview

MDB Health Services provides medical and psychiatric services to residents in long-term care facilities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. As the region's largest LTC healthcare provider, we are proud to have an exceptional team of physicians, nurse practitioners, and therapists dedicated to delivering high-quality, compassionate care. For more than 13 years, we have built a strong reputation among both clinicians and long-term care communities by going above and beyond to help facilities provide the best possible healthcare to their residents while remaining people-first in everything we do.

MDB Health Services is hiring an experienced Medical Billing Specialist to join the billing team at our headquarters in Flowood, Mississippi. This is an on-site position supporting billing for multiple locations, including Medicare Part A and Part B billing.

Responsibilities

Perform core revenue-cycle functions, including billing, claims filing, data entry, charge entry, insurance follow-up, denial management, payment posting, billing-record review, and customer service

Bill and submit Rural Health Clinic claims to insurance carriers daily

Research, correct, resubmit, and appeal front-end claim edits, clearinghouse returns, rejected or denied claims, and claims receiving no response

Review accounts receivable and prioritize follow-up based on aging, payer requirements, and reimbursement opportunity

Reconcile explanations of benefits and post payments, with the goal of ending each day at a zero balance

Maintain accurate patient, provider, practice, fee, and charge information in the billing system

Meet with the Billing Team Supervisor to identify and resolve reimbursement issues and billing obstacles

Perform other duties as assigned

Required qualifications High school diploma or GED

At least two years of medical claims billing experience

Experience submitting claims and processing client invoice billing

Ability to abstract clinical information from medical records, charts, and other documents

Ability to assign appropriate ICD-10 and CPT/HCPCS codes according to established procedures

Knowledge of insurance billing guidelines, including Medicare, Medicaid, and other payers

Knowledge of payer updates, bundling and unbundling, medical necessity, coding requirements, and medical terminology

Proficiency with general computer applications, Microsoft Word and Excel, and EMR or EHR systems

Preferred qualifications Associate degree or higher

One or more relevant credentials, including CCS, CCSP, CPC, CPC-P, RHIA, COC, or CPCH

Position details Location: Flowood, Mississippi

Work arrangement: On-site

The pay range for this role is:

45,000 - 55,000 USD per year (MDB Health Services)

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.