Billing Specialist

Medical Billing A/R SpecialistDent Neurologic Institute is committed to excellence in all we do. Our culture is built on four key pillars: respect, quality, productivity, and well-being. By remaining dedicated to these values and the overall mission, we are dedicated to making a difference for both patients and colleagues. When you join the Dent team, you can take advantage of a variety of benefits:Work-Life Balance (no overnight shifts)Medical, Dental & Vision PlansLife Insurance401(k) Retirement PlanCritical Illness, Accident, & Legal PlansWellness ProgramLearning & Development OpportunitiesPaid Time OffPaid HolidaysFree Onsite Parking at All LocationsWorking Schedule: Full-time, Monday - Friday, 8:30 am to 5:00 pmLocation: AmherstPosition SummaryJoin our growing team! Under direct supervision, the Medical Billing A/R Specialist plays a key role in driving the success of our revenue cycle by initiating and coordinating all functions related to collecting on medical claims. This is a great opportunity for a motivated, detail-oriented individual looking to build or grow a career in healthcare administration. We are willing to train the right candidate, and prior experience in medical billing, accounts receivable, or healthcare revenue cycle is a plus.Responsibilities of PositionPerform follow-up and manage denied claims by working assigned insurance denial buckets and follow-up queues.Research and follow up on outstanding receivables via telephone, written correspondence and electronic portals; document all activity including claim status, appeal progress, call reference numbers, and insurance representative detailsUtilize computer systems and payer websites to access claim status, send inquiries and appeals, insurance procedures, and treatment policiesUse all available resources to resolve claims, including documentation, medical records, authorizations, coding manuals, and reference materialsUnderstand payer-specific appeal processes, including when to escalate to formal appealsAnalyze denial reasons, prepare and submit effective appeal letters, and ensure proper supporting documentation is includedMeet timely filing deadlines for all claims and ensure timely resolutionsManage accounts receivable across aging buckets (45, 90, 120+ days)Resolve negative balance claims and process refunds as neededManage insurance correspondence sent in via mailEnsure strict adherence to organizational billing, refund, and accounts receivable policiesAnswer patient calls regarding billing questions in a professional and helpful mannerMaintain professional, respectful communication with patients, team members, and other departmentsMaintain strict confidentiality of patient information in accordance with HIPAA regulationsComplete duties efficiently as directed by leadership and report errors or issues promptlyPerform additional duties as assigned by Billing Manager, Team Lead, Sr. Revenue Cycle Manager, or CFOPosts all charges, including inpatient and outpatient services in accordance with current ICD-9 and CPT coding.Verifies all pending encounters have been addressed and entered accordingly.Registers patients in billing system when necessary (i.e. in-patient).Ensures insurance and claim accuracy.Skills & Experience NecessaryBasic understanding of insurance plans, contracts, and policies preferred; willing to train the right candidateFamiliarity with interpreting EOBs, including copays, coinsurance, deductibles, and retractions is a plusKnowledge of billing processes such as claims management, charge entry and payment posting preferred but not requiredExposure to insurance verification processes, referrals, and authorization requirements is a plusFamiliarity with medical terminology is a plusStrong sense of urgency and ability to meet deadlinesAbility to prioritize and manage multiple tasks in a fast paced environmentStrong customer service, organizational, and problem-solving skillsGeneral office skills, including typing and data entryWorking knowledge of Microsoft Office (Excel, Word)Familiarity with general office equipment (multi-line phone, copier, fax, etc.)Effective communication and interpersonal skillsWillingness to learn and be trained in medical billing and accounts receivable processesRequired Education:High school diploma with a minimum of 2 years of Medical Billing experiencePreferred Education:Associates Degree in Medical Billing and Reimbursement with a minimum of 1 years of Medical Billing experienceWorking Conditions:Normal working environment, typical of most office settingsMinimal physical effort, requires some lifting of files, usually not in excess of 15 pounds.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functionsCompensation:Most candidates will start within the first quartile of the pay rangeRates are commensurate with experienceEEO StatementDent Neurologic Institute offers an inclusive work environment built on kindness and respect for all. Dent provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws as the basis for an employment decision. All qualified individuals are encouraged to apply and will receive consideration. Dent Neurologic Institute