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Medical Billing and Collections Specialist

2 months ago

Gilbert, Arizona, United States SG HOMECARE INC Full time
Job Overview

The Medical Billing and Collections Specialist plays a crucial role in managing patient accounts and ensuring timely payment collection. This position involves verifying insurance eligibility and efficiently collecting outstanding balances while collaborating with management and staff to address any billing challenges.

Key Responsibilities:

  • Engage directly with patients to discuss their financial obligations.
  • Initiate contact through phone calls, texts, or letters to patients with outstanding balances.
  • Accurately document all communications in the billing system.
  • Generate reports on overdue patient accounts regularly.
  • Establish payment plans in accordance with company policies.
  • Oversee the Hardship program and assess patient needs.
  • Manage self-pay accounts effectively.
  • Contact insurance providers to verify eligibility and benefits through various channels.
  • Update patient information, including demographics and payment preferences.
  • Utilize the Patient Hub/AR dashboard for account management.
  • Assist in resolving unidentified or unverified payments.
  • Monitor collection agency reports for payment updates.
  • Process refund requests for patients or insurance companies when applicable.
  • Follow up on insurance claims, addressing denials and appeals as necessary.
  • Support additional billing and collection tasks as required.

Qualifications:

· High School Diploma or equivalent; an Associate's Degree is preferred.

· Minimum of 2 years of experience in medical billing and collections.

· Strong understanding of Explanation of Benefits (EOBs), copays, coinsurance, deductibles, and denial codes.

· Detail-oriented with the ability to prioritize tasks independently.

· Familiarity with Brightree billing and patient collections systems is a plus.

· Capable of multitasking in a fast-paced office environment.

· Excellent customer service skills.

· Proficient in Microsoft Office applications.

Work Environment:

This position is based in a standard office setting, where tasks are performed without exposure to adverse conditions. The role involves frequent interaction with colleagues and the public, requiring the use of a headset and access to multiple systems while addressing inquiries in real-time.

Physical Requirements:

Employees must have the mobility to work in an office environment, including the ability to sit or stand for extended periods, operate office equipment, and communicate effectively.

Vision and Hearing:

Normal vision and hearing capabilities are required, with or without correction, to read documents and interact with others.