We are looking for a dependable, trustworthy teamoriented Medical Billing and Account Receivable Specialist who can work closely with the administration to assist in all aspects of revenue cycle Insurance verification, patient payment collection, billing, and accounts receivable management needed in a great work environment with opportunities for growth. Previous Medical Billing experience is required. The candidate must have advanced written and spoken English skills. Basic Excel skills are also necessary. It is a fulltime inoffice position.
Your occupational duties may include
Reviewing patient bills for accuracy and completeness and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances.
Reviewing accounts for insurance of patient followup.
Researching and appealing denied claims.
Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
Setting up patient payment plans and work collection accounts.
Updating billing software with rate changes.
Updating cash spreadsheets and running collection reports.
Proficiency in the following areas is preferred
Knowledge of insurance guidelines including HMOPPO, Medicare, Medicaid, and other payer requirements and systems.
Competent use of computer systems, software, and 10 key calculators.
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.
Ability to work well in a team environment. Being able to triage priorities, and handle conflict in a reasonable fashion.
Problemsolving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process.
Knowledge of accounting and bookkeeping procedures.
Knowledge of medical terminology likely to be encountered in medical claims.
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 HIPAA.
Ability to multitask.