Job Description
JOB OVERVIEW
We are seeking a detail-oriented and organized Billing Specialist to join our dynamic team. The ideal candidate will have a strong background in medical billing and coding, with a comprehensive understanding of medical terminology. This role is crucial for ensuring accurate billing processes, maintaining patient accounts, and facilitating smooth transactions within our medical office.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
· Reviews, researches and resolves all rejected claims and claim balances on assigned A/R through the use of workqueues.
· Records objective, professional, thorough and comprehensible notes to account folders and/or system software.
· Records problem accounts on specific payer issues log and uses proper follow-up procedures for resolution. Contacts insurance companies when required and appropriate to secure payment on previously billed accounts.
· Promptly contacts physician’s office for clarification when needed. If proper insurance information is lacking, utilizes on-line verification tools when available, or contacts patient directly.
· Liaison to the physician/provider along with Specialty’s CBO Coder. In collaboration with coder coordinates meetings with physicians to review charges, denials and to educate regarding reimbursement issues/opportunities and coding changes, as necessary.
· Provides and/or assists in the training CBO office personnel, as necessary.
· Reviews all new insurance updates and disperses to proper providers/physicians/office staff.
· Attends reimbursement seminars and department meetings, as required.
· Receives and answers inquiries from internal staff, third party payers and/or patients regarding charges and/or billing discrepancies.
· Sends proper forms to other departments requesting billing information and ensures prompt follow-up.
· Informs supervisor of problem accounts and problem areas that affect daily operations and procedures.
· Answers phone promptly and courteously and relay messages to other staff members as necessary.
If you are passionate about contributing to the healthcare industry through accurate billing practices and have the required skills, we encourage you to apply for this vital role within our organization.
EDUCATION and/or EXPERIENCE : Fifth year college or university program certificate; or two to four years related experience and/or training; or equivalent combination of education and experience.
CERTIFICATES, LICENSES, REGISTRATIONS : Certified Coder, Certified Medical Assistant and/or Certified Medical Biller preferred
JOB TYPE: Full-time
PAY: $19.01 - $27.40 per hour
SCHEDULE:
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