Medical Billing and Collections Specialists

Job Description

Job Description

The Billing Specialist works as a Financial Counselor and provides guidance to patients in all aspects of their financial responsibilities that result from acceptance of the services. Counselor assesses patients’ financial ability, determines ability to pay, advises patents to contact insurance company with questions regarding benefits, explains financial liability, puts credit card on file for payment, negotiates payment arrangement, and resolves any confusion the patient may have about their financial obligations to the practice. eClinical works experience is a plus.

• Process lox box. creating /submitting claims, posting payments, appealing denied claims.
• Research denied claims and made corrections for refiling.
• Creates estimates for patient payment plans.
• Creates and sends statements.
• Reviews statement report of address errors.
• Review reports for the following:
• SelfPay balances.
• Precollection accounts.
• Collection accounts.
• Confirms and collects deductibles for Surgery, Office procedures and Balloons.
• Accepts payments over the telephone.
• Releases accounts “in collection status” once balance is paid.
• Attends webinars for insurance updates.
• Identifies trends and billing issues involves the supervisor for resolution.
• Understands healthcare concepts as they pertain to registration and insurance.
• Answering calls from patients, insurance companies and other staff.
• Other duties as assigned
Qualifications/Skills:

High School Diploma or equivalent required. Advanced education in medical billing preferred.

Previous experience working in accounts receivable/billing and collecting in a healthcare setting and experience with insurance billing.

Ability to analyze cost/reimbursement of accounts.

Medical Terminology knowledge including CPT and ICD-10 and coding preferred.

Demonstrates tact to effectively deal with patients, physicians, and other employees in the practice.

Possesses knowledge and experience with modern office procedures, office equipment and medical terminology.

Proficient with computers, electronic health records and excellent data entry skills

Position Requirements:
• Minimum 3 years in physicians’ office performing patient billing and collections required.
• Previous computer skills in Physician Practice Management System and/or windows application.
• Ability to analyze and review insurance and patient claims.
• Ability to multitask using EMR system and insurance websites.
• Medical Terminology including CPT4 procedure coding. ICD10 diagnostic coding and HCPCS coding preferred.
• Thorough understanding of billing requirements for governmental and private payers.
• Possesses the tact to deal effectively with patients, physicians, and other employees in the practice.
• Possesses accurate data entry skills.
• Possesses strong oral and written communication skills.