Medical Billing Specialist at A-Line Staffing Solutions LLC

A-Line staffing is hiring a Medical Billing Specialist in Harrisburg, PA. The Medical Billing Specialist would be working for a Fortune 500 Biomedical company. If interested APPLY NOW for IMMEDIATE consideration Medical Billing Specialist Job Details Pay Range: $22-$25/hour (based on experience) Location: Harrisburg, PA 17120 (100% Onsite to start with potential to convert to hybrid setup) Shift: Monday - Friday 8am-4pm with a 30-min lunch (37.5 hours per week) Education: High School Diploma or equivalent required. Medical Billing Specialist Responsibilities Analyze Medical Assistance billing inquiries to determine claim accuracy and proper payment. Investigate denied claims, identify causes, and explain denial reasons to providers based on Pennsylvania regulations and MA billing guidelines. Review Remittance Advice statements and explain payment details, including adjustments and take-backs. Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding. Evaluate claims for correct procedure codes, modifiers, and prior authorization requirements. Determine eligibility for 180-day exception processing. Assess recipient eligibility and covered services under Medical Assistance. Assist recipients with reimbursement requests and educate providers on MA program requirements. Review billing history to identify duplicate claims and prevent future denials. Conduct dental history research as needed. Identify issues requiring escalation to external agencies or the Bureau of Program Integrity. Respond to inquiries from providers and recipients on a variety of topics. Medical Billing Specialist Qualifications: High School Diploma / GED required. Degree or certification highly preferred. 2+ years of relevant healthcare experience in medical billing and coding, claims support, etc. Strong Knowledge of Medical Assistance and billing processes Basic computer proficiency, including familiarity with Microsoft Office applications If interested in this Medical Billing Specialist position, APPLY NOW to Chris Meyer for IMMEDIATE consideration Medical Billing Specialist Responsibilities Analyze Medical Assistance billing inquiries to determine claim accuracy and proper payment. Investigate denied claims, identify causes, and explain denial reasons to providers based on Pennsylvania regulations and MA billing guidelines. Review Remittance Advice statements and explain payment details, including adjustments and take-backs. Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding. Evaluate claims for correct procedure codes, modifiers, and prior authorization requirements. Determine eligibility for 180-day exception processing. Assess recipient eligibility and covered services under Medical Assistance. Assist recipients with reimbursement requests and educate providers on MA program requirements. Review billing history to identify duplicate claims and prevent future denials. Conduct dental history research as needed. Identify issues requiring escalation to external agencies or the Bureau of Program Integrity. Respond to inquiries from providers and recipients on a variety of topics.