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Healthcare Billing Specialist
2 months ago
Hart Medical Equipment is a leading provider of home healthcare products and services tailored to meet the unique needs of our clients. We are committed to delivering exceptional patient care with the utmost professionalism.
Employment Type: Full Time
Location: Grand Blanc, MI
We offer a competitive salary along with a comprehensive benefits package. EOE
Position: Medical Billing Specialist
OVERVIEW: Responsible for managing insurance and billing processes related to the services provided to our clients.
KEY RESPONSIBILITIES: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
- Accurately input charges to ensure efficient record management and prompt payment processing.
- Initiate collections for private pay accounts following insurance denials or cancellations.
- Follow up on outstanding claims within the standard billing cycle.
- Verify the accuracy of insurance payments in accordance with contractual agreements.
- Identify and process secondary or tertiary insurance claims.
- Maintain accurate billing tables and inform management of any rate adjustments.
- Investigate unpaid claims and communicate with patients and insurance providers to resolve issues.
- Review denied claims and determine necessary modifications for proper processing and maximum reimbursement.
- Address inquiries from patients, insurance companies, or colleagues regarding assigned accounts and the billing process.
- Maintain comprehensive knowledge of reimbursement requirements for assigned payers and general knowledge for others.
- Communicate any policy changes or issues to management for dissemination across the organization.
- Collaborate with payer representatives as needed.
- Foster a positive work environment through teamwork and a constructive attitude.
- Serve as a resource for accounts receivable challenges and provide backup support for the overall system.
- Perform additional duties as assigned by management.
This role does not include supervisory responsibilities.
QUALIFICATIONS
To succeed in this position, candidates must demonstrate professionalism, proactivity, and a positive demeanor with both internal and external stakeholders.
Education and Experience
- High school diploma or equivalent (GED).
- At least six (6) months of experience in medical insurance billing or a related field; or a combination of education and experience.
- Strong interpersonal, written, and verbal communication abilities.
- Attention to detail and accuracy.
- Proficient data entry skills.
- Competent in computer usage with strong typing proficiency.
- Effective organizational skills.
Language Proficiency
English (verbal and written)
Mathematical Skills
Ability to perform basic arithmetic operations using a calculator.
Analytical and Problem-Solving Skills
Ability to apply logical reasoning to follow instructions provided in various formats. Ability to address issues involving multiple variables in standardized scenarios.
CERTIFICATIONS, LICENSES, REGISTRATIONS
None required.
PHYSICAL DEMANDS
The physical requirements outlined here are representative of those necessary for an employee to successfully execute the essential functions of this role. Reasonable accommodations may be made for individuals with disabilities.
While performing the duties of this position, the employee is regularly required to sit, talk, and listen. The employee may occasionally need to stand and walk. The employee must be able to lift and/or move up to 25 pounds occasionally. Specific vision abilities required for this role include close vision. All employees are expected to work safely.
WORK ENVIRONMENT
The work environment described here is representative of what an employee may encounter while performing the essential functions of this position. Reasonable accommodations may be made for individuals with disabilities. Office environment with moderate noise levels.
TRAINING
Orientation and selected training courses must be completed within the designated timeframe.
ADDITIONAL QUALIFICATIONS
None specified.
Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities required of the employee in this role. Duties and responsibilities may change at any time with or without notice.
