Job Details

Medical Billing Specialist

Job Purpose: To handle all aspects of medical billing. Keeping a clean accounts receivable.

Primary Focus:

• Regularly work accounts receivable (A/R) to ensure timely payments
• Manage past-due accounts monthly, documenting follow-up activity and payment arrangements. Work collection accounts weekly.
• Submit delinquent accounts to collections following internal policies and timelines
• Ensure statements are generated and uploaded to the clearing house weekly.
• Take billing calls from patients. Respond to billing questions and resolve concerns with clarity and professionalism.
• Work all denial claims from EOBs in a timely manner. Correct/re-submit denied claims.
• Communicate with insurance companies regarding outstanding or denied claims.
• Work claim rejections in a timely manner.
• Keeps work area clean and neat.
• Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; reporting when repairs are needed.
• Maintains safe, secure, and healthy work environment by following standards and procedures; complying with legal regulations.
• Maintains patient confidence and protects operations by keeping patient care information confidential.
• Enhances health care practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
• Conforms to all clinic policies outlined in the employee manual or received verbally from a supervisor.
• Provide professional customer service to internal and external customers.
• Works as team player.
• Greets patients and visitors in a friendly and helpful manner.
• Treats staff, physicians, and patients with respect.
• Performs any other task assigned

Additional Duties as Needed:

• Process refunds when needed.
• Ensure all CPT/ICD codes and current fees are correct within the system and request changes if needed to the administrator.
• Post daily charges
• Post insurance and patient payments.

Requirements:

Skills/Qualifications: Vast knowledge of medical billing and coding. Procedural skills, documentation skills, interpersonal skills, verbal communication, multi-tasking skills, planning, dependability, teamwork, time management, customer service skills and being detail oriented.

Past primary care medical billing experience preferred.