Medical Billing Specialist in Sartell, MN at Alltran

Date Posted: 2/28/2018

Job Snapshot

Job Description


A Medical Billing Specialist is responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. It requires attention to detail and experience with the electronic and paper systems used in medical billing. This role is responsible for the timely submission of technical or professional medical claims to insurance companies.

Job Duties for Medical Billing Specialist

  • Obtain referrals and pre-authorizations as required for procedures
  • Check eligibility and benefit verification
  • Review patient bills for accuracy and completeness and obtain any missing information
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
  • Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Research and appeal denied claims
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Set up patient payment plans and work collection accounts
  • Update billing software with rate changes
  • Updates cash spreadsheet, runs collection reports


Job Requirements

Education and Experience Requirements and Preferences

  • High school diploma
  • Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
  • Minimum of one to three years of experience in a medical office setting

Knowledge, Skills, and Abilities

  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Use of computer systems, software, 10 key calculator
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
  • Able to work in a team environment
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
  • Knowledge of accounting and bookkeeping procedures
  • Knowledge of medical terminology likely to be encountered in medical claims

Some of the physical and mental characteristics of a successful medical biller include the following:

  • Critical thinking skills
  • Detail oriented
  • Time management skills
  • Organizational Skills
  • Ability to handle stressful situations
  • Ability to communicate effectively
  • Computer skills


This position description is not intended, and should not be construed, to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to be an accurate reflection of those principle job elements essential to the job.

Alltran provides Equal Employment Opportunities (EEO) to all employees and applicants for employment. Alltran does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, physical or mental disability, marital status, genetic information, or any other characteristic protected by federal, state, or local law, ordinance, or regulation


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