Medical Billing Specialist
4 days ago
Duration: 12 Months
Location: Livermore, CA,
Timings: 7:30 AM - 4:00 PM
RESPONSIBILITIES:
- Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner.
- Handle a variety of inquiry categories including questions about patient statements, billing, and general questions.
- Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial insurances
- Ability to interpret Explanations of Benefits or Remittance Advice (EOB or RA).
- Able to explain a billing statement and methodology.
- Maintains accurate and complete records concerning collection activity on all accounts according to company procedures.
- Process requests quickly, accurately, and consistently with general supervision
- Submit adjustment / refund requests if needed.
- Keeps management informed of areas of concern and problems identified.
- Assists in monthly closing by assuring all appropriate information is entered into the system.
- Process credit card payments.
- Monitors hardship applications.
- Process correspondence, as assigned.
- Performs other related duties as assigned.
- Follows all HIPAA guidelines.
BASIC QUALIFICATIONS | EDUCATION:
- High school graduate or equivalent required
- Strong verbal and written communication skills
- Knowledge of Revenue Cycle Customer Billing
- Excellent oral and written communication skills preferred
- Detail oriented with a focus on exceptional customer service
- Strong time management skills and ability to manage individual assignments
- Ability to work in a team environment
- Strong attention to detail
- Requires the ability to work with and maintain confidential information
PREFERRED QUALIFICATIONS:
- Secondary education or Medical Certification
- Experience in the healthcare industry preferred
- Knowledge of customer relationship management (CRM) tools and related analytics desired
COMPETENCIES:
- Experience with Microsoft Office - Word, Excel, PowerPoint required
- Familiarity with performance metrics and ability to meet identified targets required
- Strong customer service skills and professional demeanor required
- Working knowledge of HIPAA and the Affordable Care Act;
- Must have an aptitude for problem solving and staff coaching/training;
- Must be able to communicate both written and orally in a business professional manner;
- Must possess the ability to effectively present information in one-on-one and small group situations to customers and other employees
- Must possess the ability to work in an environment of multiple concurrent tasks and constant interruptions
- Analytical skills are required
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