Hospital Patient Billing & AR Collections Specialist

JOB DESCRIPTION JOB TITLE Hospital Biller A/R Collections Specialist POSITION SUMMARY Specialist is responsible for providing customer service on outstanding patient, as well as placing collection calls and other correspondence within the Medical Billing department. FSLA Non-Exempt PRINCIPLE DUTIES AND RESPONSIBILITIES Tracks and follows up on delinquent hospital insurance collections and denials Maintains and works accounts receivable report for billing Identifies and resolves patient billing complaints Performs various collections including working patient statements, contacting patients by phone, setting up payment plans, correcting and resubmitting claims to third-party payers Interacts with insurance companies and patients, primarily by telephone and electronically Reconcile customer disputes as they pertain to payment of outstanding balances that are due Demonstrates good judgment in selecting methods and techniques for obtaining solutions Work off of an aged trial balance to ensure a 30-day follow-up on all patient accounts Work with third party payers to ensure proper reimbursement on patient accounts, identifying and preparing adjustments and write-offs as appropriate Denial Management (denials, low pays) to appropriately work patient accounts, interfacing with insurance companies via telephone to check claim status, written correspondence to payers and patients Interpret contracts with payers to ensure proper payment, sending initial or secondary bills to insurance companies Process refunds/reinstatements/rejections of insurance claims, running reports on a weekly and monthly basis Support Medical Billing department with other tasks as needed/assigned Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations EDUCATION High School Diploma required IDC.10 and CPT coding Certification preferred EXPERIENCE 3-5 years minimum experience performing healthcare reimbursement, medical insurance/billing or related work required Intermediate to Advanced experience with Microsoft Office Suite Hospital billing knowledge required Meditech experience highly preferred KNOWLEDGE AND SKILLS Excellent Written and Oral communication skills Ability to work independently with minimal supervision Excellent understanding of the accounts receivable process Strong Analytical and interpersonal Skills and ability to interact with clients Time management Problem-solving skills Flexibility to switch between duties on a given task Ability to prioritize Ability to interpret and use ICD-10 codes and CPT codes Firm understanding of current CCI edits OTHER CONSIDERATIONS This position does not qualify for Visa sponsorship In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. The above description contains the general content and requirements for performance of the position. It is not intended, nor should it be construed as being an exhaustive list or statement of all duties, responsibilities, and/or requirements associated with the position. #J-18808-Ljbffr