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Billing Specialist
2 months ago
Position Overview
The Account Representative plays a crucial role in managing billing processes and ensuring effective Revenue Cycle follow-up. This position is essential for maintaining the accuracy and completeness of all submissions to maximize reimbursement.
Key Responsibilities
- Act as a primary contact for patients regarding their billing inquiries, both in-person and via phone.
- Advocate for patients to resolve issues related to unpaid claims.
- Manage insurance plans requiring authorizations and referrals.
- Provide educational support on billing procedures to staff and healthcare providers.
- Handle all correspondence related to medical necessity letters and record requests from insurance entities.
- Review denial notices and communications from relevant parties as necessary.
- Generate and analyze revenue cycle reports to identify trends and areas for improvement.
- Maintain professional communication with colleagues, insurance companies, management, and physician office staff.
- Document all transactions accurately on a daily basis, forwarding logs to the finance department at month-end.
- Ensure timely and precise entry of charge information into the system.
- Possess comprehensive knowledge of billing regulations as they pertain to various payers.
- Oversee all accounts receivable activities.
- Assist in preparing bank deposits as directed.
- Support the office manager with clinical insurance requirements.
- Post fees related to medical record requests.
- Participate in all relevant meetings and training sessions related to revenue cycle and billing.
- Disseminate key information and updates to staff and providers as necessary.
- Work through Epic Work Queues on a daily basis.
- Run all EPIC Revenue Cycle reports regularly.
- Respond to phone inquiries promptly, ensuring all communications are documented in the medical record.
- Be prepared to assist as a Medical Receptionist when required.
- Complete additional duties and projects as assigned.
- Adhere to organizational competencies and standards of behavior.
Qualifications
Required Education, Knowledge, Skills, and Abilities:
- High School diploma or equivalent.
- Prior experience in billing processes.
- Knowledge of ICD-10 and CPT coding for accurate claims processing.
If you believe this role aligns with your skills and expertise, we encourage you to consider this opportunity.
