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Billing Specialist

4 months ago

Pittsburgh, United States North Pittsburgh Oral Surgery Full time

Job Description

Job Description Description:

Job Summary The Billing Specialist is responsible for the practice's financial intake, striving for accuracy in every aspect of dental and medical billing.

Essential

Functions/Responsibilities: All shall be performed in accordance with OSHA, DEA, HIPAA, and NPOS guidelines and expectations. Working directly with the insurance company, NPOS Insurance Verification Coordinator, and patient to get a claim processed and paid Obtain all necessary patient demographic, insurance and financial information necessary for billing Coordinates the patient's insurance verification information, obtained by the NPOS Insurance Verification Coordinator, to produce and submit claims to insurance companies. Responsible for the preparation and explanation of treatment plan cost estimates to patients. Responsible for making financial arrangements with patients (I.e. self-pay, co-payments, deductibles) Evaluates patients' financial status and establishes budget payment plans only when absolutely necessary. This requires mandatory approval by the Business Manager. Assist patients with financial arrangements with financial institutions such as Care Credit, Medical Bureau, etc. Make arrangements with NPOS Patient Care Coordinators when it is necessary to collect fees from a patient seen in the office Accurate and complete data entry and coding, into the electronic patient record, of all patient information necessary to produce and submit claims to insurance companies Prepare and submit accurate and complete claims to various insurance companies Perform day-to-day financial transactions including: verifying, classifying, computing, posting and recording accounts receivable data, etc. Review and appeal unpaid and denied claims Resubmit claims of patient account balances to secondary insurance &/or third party payer Prepare, review and send patient billing statements Assist patients, staff and insurance companies with billing inquiries Assist and resolve patient billing issues/complaints by appropriate means Assist implant coordinator with compiling and presenting implant patient feeds Process payments and assist in the daily preparation of the bank deposit, under the supervision of the Business Manager Verify billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted Reviews unpaid/delinquent patient accounts, makes recommendations to the Business manager, prepares information for the collection agency when instructed. Facilitate swift payment of invoices due to NPOS by sending bill reminders and making collection calls on outstanding accounts May assist the Patient Care Coordinators with patient scheduling Maintain a working knowledge of the responsibilities involved in scheduling hospital cases in the event of the absence of the NPOS Hospital Coordinator Under the direction of the Business Manager, on occasion will be responsible for traveling to other NPOS office locations as staffing needs necessitate for the best interest of office function Participate in the orientation of employees to the duties of the billing specialist under the supervision of the Business Manager As needed, perform duties delegated by the Business Manager, &/or NPOS Doctors that contribute to the NPOS team effort in accomplishing related results for the best interest of office function Requirements:

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