Medical Billing Specialist

2 months ago

Irvine, United States HealthQuest Esoterics Full time

**Job Summary**

**Summary of Essential Job Functions**
- Completes payment entry in a timely and accurate manner which entails:

- Post payments to practice management system.
- Balance batches and run transaction payment reports.
- Records batch totals with date and initial on payment receipt spreadsheet.
- Identifies any payment not being paid at the allowed/contracted amount and communicates this to the appropriate billing representative.
- Properly communicates and documents payment denials in the practice management system and to the appropriate billing representative in a timely manner.
- Cross trained to provide coverage in charge entry.
- Batches patient statement electronically on a weekly basis.
- Creates invoices for attorney fees and communicates with physician office upon receipt of payment.
- Maintains professional knowledge regarding medical billing and coding procedures, insurance carriers, federal programs, etc.
- Works with the Billing Department to send out medical records and patient statements.
- Ensures the accuracy of documents submitted.
- Communicates effectively with carriers to submit necessary documentation for payment of claim.
- Makes calls to carriers and patients regarding the status of claims and payment if necessary.
- Assists in accounts receivables and billing for the company to ensure timely processing of all A/R transactions and new claims.
- Responsible for collections of all Accounts Receivable and tracking of A/R Aging.
- Resolves issues related to incorrect billings and any disputes raised by the customer.
- Ensures all receivables are collected promptly and applied to customer accounts accurately.
- Reviews status of delinquent accounts and initiate collection activity.
- Researches and resolves disputed delinquent account balances.
- Manages and maintains positive relations with customers.
- Works closely with other departments and groups to resolve issues and exceed client service expectations.
- Maintains accurate customer files, keep track of name changes, address changes and mailing attention for all accounts.
- Responsible for documenting all correspondence with insurance, client, and/or insurance to record.
- Prepares and sends Medical Record to insurance.
- Communicates effectively with carriers to submit what is necessary for payment.

**Required Education and Experience**
- Degree in Business Administration or equivalent experience as Medical Billing Collections; or equivalent combination of education and experience.
- At lease one year of healthcare billing experience preferred.

**Skills and Competencies**
- Previous payment posting experience preferred but not required.
- Must possess the ability to communicate with people at all levels of the organization, patients and external agencies.
- Must be open, agreeable and professional when gathering and referring information to the appropriate member of the team.
- Must have the ability to work within tight deadlines and prioritize conflicting demands whilst working effectively.
- Must have the ability to listen actively when spoken to and effectively communicate their thoughts to others.
- Must have the ability to work alone but also in a team, with fellow staff, in the business setting.
- Must possess good time management skills.
- Must actively seek to accomplish tasks and be able to use a variety of methods and ideas to solve problems when needed, seeking advice, and/or guidance from fellow employees.

**Working Conditions**
- Work in Company’s office located in Irvine, California.
- Must work in office: Monday - Friday from 8:30 AM to 5:00 PM.

Pay: $18.00 - $21.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday
- No nights
- No weekends

Work Location: In person

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