Medical Billing Specialist

Job Description

Medical Billing Specialist

ESSENTIAL DUTIES

• Knowledge of insurance verification and eligibility; authorization processes and ability to identify different kinds of insurance coverage and limitation.
• Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards.
• Collaborate with other departments to assist in obtaining prior authorization /appeals.
• Proactively work on prior authorizations that are due to be expired.
• Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (EMR).
• Responsible for determining patient financial responsibility as determined by the insurance company.
• Research and verify patient demographic information through online verification systems.
• Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation.
• Assists with patient communication when medical coverage authorizations are denied and/or pre-determination is required and monitors when waivers and advance beneficiary forms are required.
• Provide administrative services such as collecting and posting payments such as copays and outstanding balances.
• Perform patient financial counseling which includes knowledge of and maintaining all financial assistance programs available, educating patients and assisting in the enrollment process.
• Establish patient payment plans in accordance with related policies.
• Prepares daily statements for patient collections and meets with all patients with outstanding balances.
• Prepares and monitors patients payment plan agreements and advises supervisor of collection issues.
• Post and reconcile all daily patient payments received through front desk effectively utilizing practice management and EMR as directed.
• Excellent verbal and written communication skills to communicate with diverse populations including physicians, employees, patients, and families.
• Ability to multi-task, work independently and problem solve.
• Excellent customer service and problem solving skills to help ensure optimal patient experience.
• Coordination of patient care, including scheduling patient appointments as needed.

REQUIREMENTS

• High school diploma required, Associate or Bachelors degree highly preferred.
• Minimum of two years of patient front office and/or billing experience and knowledge of insurance verification/authorization process required.
• Must be familiar with the medical authorization process for all types medical insurance including accessing portals of various health plans.
• One year of patient financial counseling experience required.
• Exposure in Oncology and/or Imaging setting is highly preferred.
• Excellent computer skills and EMR knowledge.

BENEFITS

We offer competitive salaries and a diverse blend of benefits and incentives. Benefits include:

• Health, dental, and vision insurance
• 401k matching
• Company-sponsored life insurance
• Voluntary supplemental life insurance
• Voluntary short-term / long-term disability options
• Flex PTO & paid holidays
• Employee recognition programs
• Team building events & employee appreciation lunches
• Referral bonus programs
• FSA
• Job training, professional development, & continued education

About the Practice and Mission

At the Beverly Hills Cancer Center, our primary goal is to cure every patient's cancer. Since we know that in many cases advanced-stage cancers cannot be cured, our next goal is to make cancer a chronic disease, with which our patients can live and lead relatively normal lives. We accomplish our goals daily in our Los Angeles facility, which provides state-of-the-art, cutting-edge medical treatment, and caring attention to the mind, body and soul of each and every patient. With this fusion of science and caring, we aim to provide our patients with the best possible healing, and pride ourselves for being one of the best cancer treatment centers internationally.

As a private, comprehensive facility, Beverly Hills Cancer Center provides state-of-the-art cancer treatment under one roof. Our facilities include an innovative radiation oncology center, a soothing and spacious infusion center, a full-service diagnostic imaging center (with MRI, CT, PET/CT, and Bone Scan technology), and a complete, award-winning diagnostic laboratory. We also conduct some of the worlds leading clinical trials for cancer treatment right here in our facility making ours one of the top cancer centers in Los Angeles and worldwide.

Driven by our unique model and goal to provide exceptional and personalized care, we have become the only private comprehensive cancer treatment facility in Southern California. By combining advanced treatment modalities and technologies, in a soothing environment with caring physicians and staff, we are able to provide maximum peace of mind for patients. While such things may seem like a luxury to some, here at the Beverly Hills Cancer Center we understand that a tranquil, stress-free environment is integral to the healing process.

Beverly Hills Cancer Center 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.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience (including specific industry), education, specialty and training. This pay scale is not a promise of a particular wage.