Patient Advocate Billing Specialist

Job Description

Job Description

Description:

X-Ray Associates of New Mexico is seeking a Patient Advocate Billing Specialist to join our Revenue Cycle team. In this role, you will serve as a key resource for patients by researching billing and insurance questions, resolving account issues, processing payments, and working directly with insurance companies to ensure accurate and timely claim resolution.

If you have experience in medical billing, insurance claims, and patient customer service, we encourage you to apply.

Responsibilities

• Assist patients with billing inquiries, account research, and payment processing.
• Process patient payments accurately using payment processing systems.
• Review insurance claims, Explanation of Benefits (EOBs), correspondence, and claim status information.
• Investigate unpaid and underpaid claims and take appropriate action for resolution.
• Research and correct claim discrepancies and resubmit claims as needed.
• Maintain accurate account documentation and collection notes.
• Handle inbound and outbound patient calls regarding billing and insurance issues.
• Communicate with insurance carriers to obtain claim status and resolve payment concerns.
• Assist walk-in patients with billing questions and payment needs.
• Process and manage claim-related correspondence, return mail, bankruptcy notices, death certificates, and other account-related documentation.
• Maintain HIPAA compliance and protect patient confidentiality at all times.

Required :

• High School Diploma or equivalent.
• Minimum of two (2) years of experience in:
• Medical Accounts Receivable, OR
• Medical Insurance Claims Processing.
• Strong customer service and communication skills.
• Ability to remain professional and composed when assisting upset or frustrated patients.
• Strong attention to detail and problem-solving abilities.
• Proficiency with computers and the ability to learn multiple software applications.

Preferred :

• Experience working in a healthcare billing environment.
• Knowledge of medical insurance plans, claim processing, and reimbursement procedures.
• Familiarity with healthcare billing software and electronic claim systems.

Skills & Abilities

• Excellent verbal and written communication.
• Strong organizational and multitasking skills.
• Ability to analyze insurance and billing information accurately.
• Ability to work independently and as part of a team.
• Commitment to providing outstanding patient service.