Medical Billing Specialist reviews and verifies medical bills and invoices with accounts receivable ledger and patients. Ensures record accuracy, follows up, and makes necessary revisions. Being a Medical Billing Specialist processes changes in information system to support accurate and efficient billing process and financial close. Follows proper medical and insurance claim processes. Additionally, Medical Billing Specialist typically requires a high school diploma or equivalent. Typically reports to a supervisor or manager. The Medical Billing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Billing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
We are looking for a Medical Billing and Collections Specialist to join our team who can be responsible for managing the revenue cycle and acts as an expert in the department for all processes relating to coding and billing. Be responsible for executing monthly billing cycle activities, including billing set-up, Daily submission, Follow-up process evaluation and audit on various accounts, and communication with clients and higher management on goals and process improvements in the billing department. They manage inquiries from clients and ensure they are addressed in a timely manner and appropriately resolved. They will also assist with month-end and other periodic close reconciliations.
Ultimately, they will work directly with potential customers and existing clients to inform and resolve any questions clients may have pertaining to medical billing, along with assisting other departments within the company. They must have a complete understanding of EHRs and billing software and clearing house procedures. This is an on-site position.
Responsibilities
• Serving as the face of the organization to internal and external partners
• In collaboration with the senior management, he/she prepares and analyzes insurance contracts, weekly and monthly financial reports, and accounts receivable reports.
• Involves coordinating and directing the activities of the billing operations following overall departmental protocol; and that State, Federal, and payer requirements, guidelines, and regulations are complied with.
• Planning and directing workload coding, patient insurance documentation, data processing, and billing and collection to achieve efficient account collection and accurate billing.
• Ensure accurate collection and compilation of statistical reports.
• Performing weekly and monthly billing functions, ensuring billing is completed in a timely and accurate manner.
• Developing and maintaining relationships with key clients
• Review the work of billing staff to ensure accuracy, resolving inconsistencies as needed.
Review monthly financial, suspense, collections, commissions, and variance reports, collaborating with billing specialists to take necessary action for correction.
• Provide customer support to customers with disputes or inquiries concerning invoices or billing processes.
• Research and resolve billing discrepancies and customer inquiries.
• Auditing current procedures to monitor and improve the efficiency of billing and collections operations.
Requirements and Skills
• Minimum 6 plus years work experience in Review Cycle Management in a managerial role.
• Hold a bachelor’s degree in business, health care administration, accounting, or other related fields.
• Knowledge of ICD-10 and CPT/HCPCS coding principles and guidelines. Knowledgeable in current governmental/regulatory requirements (state, federal, HIPAA, etc.) and provisions that apply to healthcare institutions.
• Excellent verbal and written communication skills
• Dress Code (Clients-formal, Office-Semi casual); needs to be always presentable.
• Proficient in Microsoft Office Suite or related software
• Basic understanding of collection practices and laws
• Excellent interpersonal and supervisory skills
• Ability to act with discretion, tact, and professionalism in all situations.
• Understanding of EMR/CHR systems as well as Clearing Houses ( CollaborateMD, AdvancedMD, AthenaOne, eClinicalWorks, Practice Fusion, Change Health, Availity, TriZetto, etc. )
Benefits:
• Medical/Dental/Vision
• Paid Time-Off
• Holiday Time-Off
Salary: Depends on experience
Contact: If interested please send resume to nesmail@rightmedicalbilling.com