Account/Billing Specialist

3 weeks ago


Wichita Falls, United States MyStaf Full time $14
Job DescriptionJob Description

Position: Collections – Billing Specialist

Monday - Friday 8-5

 

Classification: Business Office
Summary of Essential Functions
· Computes Insurance benefits, allowances, adjustments, and patients balances.
· Files Insurance claims on HCFA 1500 or UB forms for services.
· Displays positive customer relations with other departments within the company, clients, and insurance companies.
· Processes tracers and verifies reimbursement from all payers.

Qualifications:
· High School Diploma or equivalent.
· Must have clean background and pass a drug screening.
· Prefer at least two years’ experience in a medical/rehabilitation setting or related job experience.
· Must be able to communicate effectively in English, both verbally and in writing.

Knowledge/Skills/Abilities:
· Knowledge in all areas of insurance, including but not limited to the ability to analyze and compile insurance billing data on the UB and HCFA forms.
· Knowledge of the filing and collection practices for all payers.
· Ability to compute insurance benefits, allowances, adjustments and clients’ balances.
· Demonstrates accurate knowledge of the appeal process to carriers.
· Knowledge of patient accounts and the ability to discuss account information with clients and insurance companies.
· Ability to read, comprehend and apply governmental rules and regulations.

Duties and Responsibilities
1. Compiles data and prepares insurance forms for billing; Compiles data utilizing client and insurance data. Computes and posts adjustments and expected pay amounts to client accounts. Investigates and posts charges to client accounts. Computes insurance benefits and client balances. Ensures claims are filed on a daily basis, maintaining departmental goals.
2. Processes follow up reports ensuring timely payments and avoiding deadlines.
Verifies and calculates payments. Ensures accurate insurance payments are received. Post adjustments and verify account balances. Identifies short payments as well as refunds. Follows up on incorrect payments or denials in a timely matter. Ensures proper status of accounts. Notifies Director of Records & Reimbursement of any consistent discrepancies or reimbursement problems.
3. Processes daily reports, mail and phone calls; Process report determining whether to refile a claim, refund or process an adjustment. Processing messages from other departments on a daily basis. Assists with receptionist duties, handling of co-pays, and balancing of cash box as needed.
4. All mail received is worked within 2 days of receipt. All information is documented in the client account note file. Phone calls received are answered in a courteous manner. All questions are answered, and if needed transferred to the appropriate person for processing.
5. Performs all other tasks/responsibilities as necessary.



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