The Billing Specialist is responsible for managing the billing, collections and payment posting for our clinics. The position will follow-up with insurance companies and other stakeholders applying exceptional customer service to achieve positive results. The team members will utilize integrative negotiation skills with key stakeholders to include insurance companies and patients.
Key Responsibilities
Comfortable handling billing, collections and payment posting and working with a team of authorizations specialists, Patient coordinators, and doctors. Including proper communication with other dept to correct errors and discrepancies.
Researching and contacting clients/patients to inform them about overdue bills and accounts.
Contacting insurance companies to determine the status of submitted claims and investigating reasons for claim denial. Providing proper follow up and appeal as necessary on denied claims
Ensuring that all posted payments are reviewed for accuracy and comprehensiveness.
Negotiating for a reasonable payment plan, when patients are unable to pay medical bills due to their financial position.
Preparing and submitting billing data and medical claims to insurance organizations
Settling financial discrepancies and monitoring missed payments.
Overseeing and maintaining billing software by updating cash spreadsheets, rate change, and current collection reports
Maintaining quality results by strictly adhering to standards.
Working A/R (Insurance/Patient). Including weekly statements generated to be mailed by the clearinghouse
Required Knowledge And Skills
Excellent written and verbal communication skills, since a medical billing specialist is expected to interact with patients who owe debts, insurance companies, team members, and the medical organization’s management.
Good endurance skill, which involves the ability to work efficiently and productively in a high-pressure environment
Computer literacy skills, as he/she will be expected to use relevant computer billing software and must also be proficient in Microsoft Office. Experience with AdvancedMD, NextGen a plus.
Strong customer service and interpersonal skills which enable a medical billing collector to answer any questions that patients or insurance companies may have.
Education/Licensure/Technical Requirements.
Two years of proven medical billing experience
High School diploma or GED
Ability to meet U.S. employment and eligibility requirements.
Signatures
I have been given a copy of this position description and have read and will comply with the expectations and requirements outlined in this position description.
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care
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