Medical Billing Specialist

Job Description

Job Description

Reports To

Billing Manager, Takes direction from Billing Manager

 

Job Summary

The Billing Specialist functions behind the scenes taking care of daily billing tasks, including processing superbills and claims, answering billing questions from staff and patients, creating, and submitting appeals, managing A/R and much more. This position is the point of contact with the patient for sorting through insurance issues and payment concerns. This position operates as an integral member of the Billing Team, owning the responsibility of keeping the revenue cycle moving so the practice can be fiscally sound. 

 

Duties and Responsibilities

 

Outward Facing & Patient Responsibilities

· Communication – Clear, concise, timely, and polite communications with patients and visitors in person and on the phone

· Capture Information – Obtain and document appropriate information from patients and visitors (paperwork, availability, etc.)

· Process Information – Process patient and visitor information by following procedures and protocols (referrals, etc.)

· Inform & Set Expectations – Properly inform and set expectations with all patients and visitors (paperwork, wait times, procedures, etc.)

 

Inward Facing & Office Responsibilities

· Positive Attitude & Professionalism – Function as an effective team member

· Communication – Clearly communicate with practice staff when interacting regarding billing issues

· Prioritization – Prioritize daily activities to efficiently handle essential matters, such as changes to the schedule

· Accuracy – Ensure patient records and billing documents are accurate and complete

· Positive Environment – Monitor, maintain, and organize all non-clinical rooms for comfort, safety, and compliance

 

Duties

· Processing Superbills and associating into patient accounts.

· Process No Show fee

· Process/approve claims to submit to insurance

· Collect/Organize mail to different departments

· Enter payments received in the mail

· Answering all calls/emails/voicemails for the billing department from patients (balance questions, refund requests, itemized receipts, lab bills, waiving no show fees, etc.

· Be available for any questions incoming from front desk

· Review rejected/invalid claim submissions

· Create appeals/submit medical records to insurance

· Receive calls regarding itemized receipts from patients

· Create quotes and estimates for procedures sent by providers

· Review/Answer tasks sent to the billing department through EMA

· Apply patient payments

· Run strips payments for Dermatology Link patients

· Accounts receivable follow up

· Gather deposits

· Process medical records release forms and contact patients regarding fee collections or gaining access to patient portals

· Scan in all received invoices and upload to Hubdoc

· Run reports for missed encounters, uncharged no-show fees

· Process payments from Corrona and those received through PaySpan and Instamed

· Process insurance medical requests and audits

· Task Management – Complete assigned tasks and coordinate with managers where needed

· Escalation – Escalate matters of concern, patient needs, or responsibilities to management as appropriate

· Assigned Duties & Projects – Complete specific assigned duties as assigned

\nCompany Description

Revelus Dermatology provides General, Surgical, and Cosmetic dermatology services.

Company Description

Revelus Dermatology provides General, Surgical, and Cosmetic dermatology services.