Billing Specialist

1 month ago


Boynton Beach, United States Retina Group of Florida Full time
Job DescriptionJob Description

The billing specialist is responsible for obtaining and following up on payments from patients and insurances based on established contracts.

Responsibilities
  • Review and process account adjustments and overpayment refunds in an efficient and timely manner
  • Respond to detailed questions from patients and payers regarding claims or account status
  • Reconcile detailed AR accounts
  • Process claim appeals
  • Identify coding and billing errors
  • Monitor insurance claims
  • Contact insurance companies on behalf of the practice
  • Update patient account records to identify actions taken
  • Assign bad debt accounts to the collection agency
  • Monitor accounts receivable
  • Maintain knowledge of all third-party and CMS reimbursement requirements
  • Participate in a billing and collection-related meeting to discuss new and ongoing account resolution
  • Set up payment plans on self-pay accounts.
  • Reviews daily drug posting
  • Corrects posting errors
  • Follows Medical Record Release policy
  • Adheres to OSHA, IPAA, and security protocols
  • Supports RGF's Mission Statement
Required Skills
  • Excellent communication skills
  • Knowledge of billing procedures and collection techniques
  • An excellent understanding of AR processes, third-party payers, and CMS regulations
  • The ability to read and understand EOBs
  • Experience using medical billing software
  • Ability to prioritize tasks properly
  • Excellent verbal and written communication skills
  • Knowledge of Nextgen is a plus
  • Ability to answer multi-line telephones
  • Ability to prioritize tasks properly
  • Ability to work both in a team environment and independently


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