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Billing Administrator
2 months ago
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
The Billing Administrator is responsible for managing the billing inquries and referrals within the practice, ensuring accuracy and compliance with healthcare regulations. This role involves handling patient accounts, insurance claims, and managing collections. The ideal candidate will have a strong background in medical billing, excellent organizational skills, and the ability to work well under pressure.
Handle patient billing inquiries and resolve any discrepancies in a professional and courteous manner.
Verify patient insurance coverage and ensure that all necessary pre-authorizations are obtained.
Monitor accounts receivable, follow up on outstanding balances, and manage collections.
Reconcile daily billing transactions and prepare reports for the practice manager and finance department.
Maintain patient confidentiality and ensure compliance with HIPAA and other healthcare regulations.
Collaborate with the clinical staff to ensure proper coding and documentation for billing purposes.
Train and mentor billing staff as needed and ensure adherence to best practices in billing and collections.
Stay updated on changes in billing regulations, coding standards, and insurance policies.
Process and coordinate patient referrals to specialist services, ensuring timely and accurate communication.
Verify patient insurance coverage and obtain necessary pre-authorizations for referrals.
Communicate with referring and receiving healthcare providers to ensure all relevant information is transferred.
Schedule appointments for patients with specialists and follow up to confirm attendance.
Maintain accurate and up-to-date records of all referral activities in the patient management system.
Respond to patient inquiries regarding the status of their referrals and provide necessary support.
Monitor referral outcomes and ensure proper documentation of follow-up care.
Work closely with healthcare providers, office staff, and insurance companies to resolve any issues related to referrals.
Adhere to all HIPAA guidelines and ensure patient confidentiality is maintained at all times.
Assist in developing and implementing policies and procedures for the referral process.
- High school diploma or equivalent; Associate's or Bachelors degree in Healthcare Administration, Accounting, or a related field preferred.
- Minimum of 3 years of experience in medical billing, preferably within a medical practice setting.
- Certification in medical billing or coding (e.g., CPC, CPB) is strongly preferred.
- Strong knowledge of medical terminology, CPT, ICD-10 coding, and insurance processes.
- Proficiency in medical billing software and Microsoft Office Suite, particularly Excel.
- Excellent attention to detail and strong analytical skills.
- Effective communication and interpersonal skills.
- Ability to manage multiple tasks and work efficiently in a fast-paced environment.
- Familiarity with EMR/EHR systems.