Healthcare Billing Specialist

2 weeks ago


Chesapeake, Virginia, United States Bayview Physicians Group Full time
Position Overview

Bayview Physicians Group is a dynamic and expanding outpatient multi-specialty medical organization that prioritizes the doctor-patient relationship as the foundation of exceptional healthcare. We employ over 600 professionals in the Hampton Roads region. We welcome individuals who exhibit outstanding customer service abilities, foster strong collaborative relationships, and are committed to cultivating a positive workplace culture.

Key Responsibilities:

  • Monitor claims with various insurance providers.
  • Engage in proactive follow-up with insurers regarding outstanding unpaid claims.
  • Manage unpaid claims and review credit reports.
  • Investigate and resolve rejected or suspended claims.
  • Prepare appeals and necessary documentation for reconsideration of payments by insurance companies.
  • Conduct audits on patient accounts to identify when refunds are warranted and initiate refund requests.
  • Assist patients with inquiries related to insurance billing and account balances.
  • Recognize delinquent accounts and coordinate with the collections department.
  • Keep staff informed of updates and changes in insurance policies and procedures.
  • Participate in specialized training sessions as required.
  • Support colleagues as needed to balance workload effectively.
  • Handle Practice Management claims, edits, validations, and clearinghouse carrier edits.
  • Ensure confidentiality regarding patient account statuses and the financial matters of the organization.
  • Complete annual compliance training.
  • Maintain regular and dependable attendance.
  • Arrive at work punctually as scheduled.
  • Perform additional tasks as assigned by management.

Qualifications:

  • Comprehensive understanding of medical practices, coupled with excellent interpersonal skills.
  • Ability to prioritize and manage multiple projects simultaneously.
  • Effective oral and written communication skills.
  • Strong telephone communication abilities.
  • Demonstrated capacity to work collaboratively as part of a team.
  • Exhibit a positive attitude and a willingness to assist others.
  • Familiarity with standard office equipment, including computers, fax machines, and photocopiers.

Education and Experience:

  • A minimum of one year of relevant medical experience is required.

Supervisory Role:

No supervisory responsibilities.

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