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Medical Billing Specialist
3 weeks ago
This is an opportunity to join a growing and well-respected practice Las Vegas Urology is currently seeking a patient focused Medical Billing Specialist - Hard Collections to join its team. Our staff works together in supporting several clinics across the city and have been doing so for decades.
Summary of position:
The Medical Billing Specialist - Hard Collections is responsible for managing the collection process on overdue accounts. This role requires strong communication skills, a solid understanding of medical billing and coding practices, and the ability to handle sensitive patient information with discretion. The specialist will work closely with patients, insurance companies, and internal departments to resolve outstanding balances and ensure timely payment.
Essential Functions:
- Actively pursue overdue accounts by contacting patients and insurance companies via phone, email, or mail to secure payment.
- Monitor and manage accounts receivable, ensuring timely follow-up on delinquent accounts.
- Negotiate payment plans with patients and establish terms that balance the need for payment with the patient's ability to pay.
- Investigate and resolve billing discrepancies, disputes, and denials to facilitate payment.
- Ensure all collection activities comply with federal and state regulations, including HIPAA and the Fair Debt Collection Practices Act (FDCPA).
- Maintain accurate records of all communications and actions taken on each account.
- Prepare and submit reports on collection activities, outstanding balances, and other relevant data.
- Work closely with the billing team and insurance companies to address billing issues and streamline the collection process.
- Provide clear explanations to patients regarding their account status, payment options, and any other relevant information.
- Conduct self in accordance with Las Vegas Urology's employee manual.
- Maintain strict confidentiality; adhere to all HIPAA guidelines and regulations.
Minimum Requirements:
- High school diploma or equivalent required; Associate's degree in healthcare administration, finance, or related field preferred.
- Minimum of 2-3 years of experience in medical billing and collections, with a focus on collections.
Skills/Experience:
- Strong understanding of medical billing processes, insurance guidelines, and coding (ICD-10, CPT).
- Excellent communication and negotiation skills.
- Proficient in using medical billing software and electronic health records (EHR) systems.
- Ability to manage multiple accounts and prioritize tasks efficiently.
- Knowledge of relevant federal and state regulations.
- Strong problem-solving abilities and attention to detail.
- Knowledge of Microsoft Office, Outlook, and the ability to operate basic office equipment.
- Ability to read and comprehend explanation of benefits (EOBs).
- Excellent phone etiquette and oral communication skills.
Typical Physical Demands:
Requires sitting, standing and walking for periods of time. Some bending, lifting, and stretching required. Manual dexterity required for use of telephone and computer keyboard. While performing the duties of this job, the employee is regularly required to talk or hear. Position requires the ability to work in stressful situations. Involves contact with patients.
Benefit package includes:
- Medical, Dental, Vision & Life Insurance paid 100% for employee only, effective the first day of the month following 60 days of employment.
- 401K and Profit Sharing.
- PTO, accrued per paycheck.
- 5 paid holidays.
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