JOB SUMMARY:
This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Billing Specialist/AR will also have proper phone etiquette, computer skills, and the ability to multi-task and work well independently and as a team member in a fast-paced environment, collaborating effectively with all departments and cultivating a nurturing atmosphere of courtesy, compassion, respect, empathy, dignity, and optimism. This position will prepare and maintain all aspects of the clinic environment.
JOB DUTIES:
- Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Timely follow-up of all claim denials.
- Submits corrected claims in a timely manner.
- Timely submission of appeals.
- Responds to inquiries from the insurance company, patients, and providers.
- Submits insurance/patient refunds in a timely manner.
- Analytically examines accounts.
- Identifies payer-specific trends.
- Informs Management of any known issues.
- Does part to prevent fraud and abuse.
- Participates in educational activities, reviews coding, and billing updates.
- Inform Management in a timely manner of any Medical Coverage Policy updates regarding your insurance carriers.
- Sets up payment plans for patient balances.
- Special projects as assigned.
- Performs other duties as assigned.
- Maintains the strictest confidentiality; adheres to all HIPAA guidelines/regulations.
Other functions:
- Performs other logically associated duties that enhance position through Continuous Quality Improvement.
- Serves as a preceptor for new Employees.
- Competent in communication with patients, including current working knowledge of medications, interventions, and procedures provided.
- Competent in computer applications pertaining to the position.
BASIC QUALIFICATIONS:
- High school diploma or equivalent required.
- 3 years of billing experience is required.
- Good interpersonal and organizational skills.
- Highly detail oriented with a critical degree of accuracy regarding data entry.
- Ability to analyze A/R Aging reports and prioritize work accordingly.
- Knowledge of medical billing/collections practices, computer programs, business office.