MDB Health Services Overview

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.

For more than 13 years, MDB Health Services has provided medical and psychiatric care to residents of long-term care communities across Mississippi, Louisiana, Arkansas, Tennessee, Kentucky, and Texas. You will join a collaborative, tight-knit team supporting the revenue cycle operations behind that care.

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 each day with a target error rate below 1%.
• Research, correct, resubmit, and appeal front-end claim edits, clearinghouse returns, rejected or denied claims, and claims receiving no response.
• 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.
• Prepare and send patient statements for copayments, deductibles, coinsurance, and other patient-responsibility balances.
• Respond to medical-record requests and requests for additional information.
• 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