Medical Billing Specialist - Pediatrics

Job Description

Job Description

The Pediatric Center is looking for a dynamic, self-motivated medical billing specialist to fill out our in-house billing team. The position is full-time and is responsible for the support of all in-office billing functions including payment posting, denial management, insurance claim appeals, patient collections, etc. This position works closely with our billing manager to ensure that all claims are submitted accurately, timely, and payments are received and posted appropriately, resulting in a healthy aging.

The ideal candidate will have a minimum of 2 years experience in a medical billing position. Successful candidates must be able to handle multiple projects at one time, have excellent attention to detail, and a desire to learn and grow. Past experience working on an electronic medical record and practice management system is required.

Primary Responsibilities:

• Insurance claims payment posting and processing. This includes strong understanding of allowed amounts, adjustments, remarks codes, and basic understanding of E/M codes.
• Answer patient phone calls regarding billing questions. This includes answering questions about balances, looking into denied claims, and processing patient credit card payments over the phone.
• Daily denial management and follow up. This includes zero pay EOBs, and working from unpaid claims reports.
• Working from clearinghouse generated reports to correct insurance and coding issues before claims are sent off to payers
• Some knowledge of the patient collection process. May be assigned to call patients to set up payment arrangements on past due balances.
• Keeping a daily deposit log, if payments are being posted
• Preparing bank deposits of insurance checks and patient checks sent through the mail
• Attend scheduled meetings

Knowledge, Skills, and Abilities:

• Excellent attention to detail, with an ability to prioritize, multi-task and meet deadlines in a fast paced environment
• Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards
• Ability to exercise a high degree of diplomacy and tact; excellent customer service and interpersonal communication skills
• Cultural sensitivity and demonstrated ability to work with diverse people
• Some proficiency with Microsoft Word and Excel
• Experience with Allscripts Pro PM strongly desired
• Intermediate to advanced phone skills; able to effectively relate via the telephone and in-person to serve the needs of Center patients/clients/visitors in a manner that is efficient and productive.
• Must be highly flexible; able to accommodate changing needs of the Center
• Well-developed verbal and written communication skills
• Knowledge of basic math and modern office procedures
• Ability to work well under pressure with minimal supervision
• Willingness to work evenings and/or weekends
• Basic to intermediate computer knowledge and skills
• Training and/or experience with computer data entry and ability to type a minimum of 45 WPM
• Ability to operate a 10 key calculator by touch

Qualifications:

• High School diploma or equivalent
• Minimum of 2 years medical billing experience required
• Knowledge of computers, and other standard office equipment required.
• Ability to successfully pass a background check and other pre-employment screening.

 

Company Description

The Pediatric Center has been proudly caring for the children of Richmond since 1962. For decades, we have strived to provide excellent pediatric care in a warm and welcoming environment, and we were recently recognized by Style Weekly readers as a “Family Favorite” practice.

The care of children has seen many exciting advancements since the Pediatric Center first opened its doors. Many conditions are now diagnosed earlier, and treatments have improved significantly. We continue to expand our understanding of childhood growth and development and have implemented screenings that help identify developmental delays and disorders at earlier stages. In addition, the development of important vaccines has dramatically reduced the incidence of many childhood infectious diseases.

At the same time, delivering this care can sometimes be challenging. Insurance plans may limit choices for both patients and providers, and the increasing pace of daily life can make it difficult for families to visit the office when needed. The emergence of urgent care and retail-based clinics has helped address some of these challenges; however, we remain committed to providing cohesive, medical home–based care within our practice. Our goal is to ensure that you and your child experience continuity and consistency in your healthcare.

To better accommodate the needs of our patients and improve access to care, we offer 24/7 on-call support and Saturday morning clinic hours at our VCC office. We also recognize that many working parents need early appointments for sick children so they can still get to work and school on time. To help with this, we have implemented an Early Bird “Quick Sick” hour, along with expanded availability of same-day sick appointments. We hope these options make it easier for your child to be seen consistently at the Pediatric Center and strengthen the continuity of their care.

We also continue to leverage technology to improve access, communication, and the overall patient experience. As new tools become available, we look for thoughtful ways to incorporate them so families can more easily connect with our team and access the care and information they need.

While much has changed over the years, one thing remains constant: at the Pediatric Center, your child’s needs will always come first. We are a friendly and dynamic group with a wide range of backgrounds and experience, and we are honored to partner with you in supporting every aspect of your child’s health.

Company Description

The Pediatric Center has been proudly caring for the children of Richmond since 1962. For decades, we have strived to provide excellent pediatric care in a warm and welcoming environment, and we were recently recognized by Style Weekly readers as a “Family Favorite” practice.\n\nThe care of children has seen many exciting advancements since the Pediatric Center first opened its doors. Many conditions are now diagnosed earlier, and treatments have improved significantly. We continue to expand our understanding of childhood growth and development and have implemented screenings that help identify developmental delays and disorders at earlier stages. In addition, the development of important vaccines has dramatically reduced the incidence of many childhood infectious diseases.\n\nAt the same time, delivering this care can sometimes be challenging. Insurance plans may limit choices for both patients and providers, and the increasing pace of daily life can make it difficult for families to visit the office when needed. The emergence of urgent care and retail-based clinics has helped address some of these challenges; however, we remain committed to providing cohesive, medical home–based care within our practice. Our goal is to ensure that you and your child experience continuity and consistency in your healthcare.\n\nTo better accommodate the needs of our patients and improve access to care, we offer 24/7 on-call support and Saturday morning clinic hours at our VCC office. We also recognize that many working parents need early appointments for sick children so they can still get to work and school on time. To help with this, we have implemented an Early Bird “Quick Sick” hour, along with expanded availability of same-day sick appointments. We hope these options make it easier for your child to be seen consistently at the Pediatric Center and strengthen the continuity of their care.\n\nWe also continue to leverage technology to improve access, communication, and the overall patient experience. As new tools become available, we look for thoughtful ways to incorporate them so families can more easily connect with our team and access the care and information they need.\n\nWhile much has changed over the years, one thing remains constant: at the Pediatric Center, your child’s needs will always come first. We are a friendly and dynamic group with a wide range of backgrounds and experience, and we are honored to partner with you in supporting every aspect of your child’s health.