Job description

GENERAL SUMMARY: Responsible for insurance claims processing. The billing person will be accountable for full adjudication of all medical claims including accurate and correct claims processing, and posting incoming payments to patient accounts as well as patient and insurance AR follow-up.

KNOWLEDGE, ATTRIBUTES, SKILLS & ABILITIES:

The Billing Specialist should have/possess/practice:

• Integrity
• Confidentiality
• Customer/Patient Focus
• High Energy Level
• Excellent Interpersonal Skills
• Team Oriented

JOB RELATIONSHIPS: Work collaboratively with entire RCM staff, clinical staff, and providers. Must be able to work together as a team treating all staff with respect

REASONING ABILITY: Ability to apply common sense understanding to carry out instructions furnished in written or oral form. Ability to deal with problems involving several concrete variables in standardized situations

PRIMARY JOB RESPONSIBILITIES:

• Process insurance claims on a daily basis. Process bills to patients monthly for services provided. Check all claims and invoices for accuracy
• Assist patients with insurance problems and explain billing questions. Counsel patients regarding overdue or delinquent accounts
• Working Insurance and Patient Aging including follow up with insurance companies to address problems with timely payment for claims and contacting patients to make satisfactory payment arrangements on outstanding balances.
• Balance insurance and patient charges and/or payments on a daily basis in computer system.
• Handle appeals to insurance companies on denials on a timely basis
• Verification of patient insurance benefits
• Assist with daily reconciliation of receipts and preparation of daily bank deposit with all monies collected
• Stay current with respect to requirements of all insurance companies; keep practice appraised of these issues

ESSENTIAL TASKS, DUTIES AND RESPONSIBILITIES

• Primary job responsibilities are assigned to assure that the patient’s and physician’s and all clinical provider’s needs are met and the office operates efficiently and effectively at all times.

The assignment of primary job responsibilities means that you are responsible for seeing that your work is completed properly in the identified areas. It does not mean that you must solely perform and complete only those tasks. Likewise, there are other team members in the RCM department who will need your assistance in their assigned areas.

• Each team member in the RCM department has their own assigned primary job responsibilities. You should be able to accomplish your job responsibilities while still assisting the other team members as needed.
• Accepts ownership for actions, is accountable and delivers commitments.
• Oriented towards continuous learning in the ever-changing medical billing world.
• Initiates action to manage staff conflicts
• Demonstrates an ability to identify and resolve problems, uses initiative and good judgment to reach quality decisions

Interpersonal skills

• Portrays attitude and actions that are consistent with the mission of the practice
• Maintain open and positive communication with all personnel team members
• Communicates with patients, families/significant others
• Maintains professionalism within the practice
• Maintains confidentiality
• Maintains calm and effective behavior during stressful situations
• Promotes a positive work environment which will enhance employee satisfaction

Job Type: Full-time

Pay: $15.00 - $17.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: One location

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