Medical Billing/Accounts Receivable Specialist

Duties:

Examine Admission and Discharge Episode of Care Records

Ensure Adequate Clinical Documentation

Verify Level of Care

Ensure Compliance with MLA Billing Procedures and Standards

Prepare, Code and File Claims

Track Claims Status, Approvals

Ensure EOB Accuracy

Ensure Accurate Payment Posting

Ensure Accurate Data Entry

Process Denials and Appeals

Perform such other and further duties as assigned by the MLA Revenue Cycle Director

Qualifications:

* Proven working experience as a Medical Accounts Receivable Specialist or similar role.

* TRICARE Health Plan billing experience (Must have)

* Knowledge of billing procedures and collection techniques

* Familiarity with medical terminology and healthcare regulations.

* Proficiency with MS Office and databases.

* Excellent communication and data entry skills.

* Attention to detail and problem-solving ability.

* Understanding of medical coding and billing software.

* High school diploma; degree in Business Administration or related field is a plus.