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Billing and Collections Coordinator

2 months ago

Wichita Falls, Texas, United States Mystaf Career Page Full time
Job Overview

Position: Collections – Billing Specialist
Schedule: Monday - Friday, 8 AM - 5 PM


Classification:

Business Office


Key Responsibilities
  • Calculates insurance benefits, allowances, adjustments, and patient balances.
  • Submits insurance claims using HCFA 1500 or UB forms for services rendered.
  • Maintains positive relations with internal departments, clients, and insurance providers.
  • Handles tracers and confirms reimbursement from all payers.

Qualifications
  • High School Diploma or equivalent required.
  • Must have a clean background and pass a drug screening.
  • Preferred: Minimum of two years' experience in a medical or rehabilitation environment or related field.
  • Effective communication skills in English, both verbal and written.

Knowledge, Skills, and Abilities
  • Proficient in all aspects of insurance, including the ability to analyze and compile billing data on UB and HCFA forms.
  • Familiarity with filing and collection practices for various payers.
  • Ability to compute insurance benefits, allowances, adjustments, and patient balances accurately.
  • Demonstrates comprehensive knowledge of the appeal process with carriers.
  • Understanding of patient accounts and the ability to discuss account details with clients and insurance companies.
  • Ability to read, comprehend, and apply governmental regulations and guidelines.

Duties and Responsibilities
  • Gathers data and prepares insurance forms for billing; utilizes client and insurance information to compute and post adjustments and expected payment amounts to client accounts.
  • Investigates and posts charges to client accounts, ensuring claims are filed daily to meet departmental objectives.
  • Processes follow-up reports to ensure timely payments and adherence to deadlines.
  • Verifies and calculates payments, ensuring accurate insurance payments are received and posting adjustments as necessary.
  • Identifies short payments and refunds, following up on incorrect payments or denials promptly.
  • Maintains proper status of accounts and informs the Director of Records & Reimbursement of any ongoing discrepancies or reimbursement issues.

Additional Responsibilities
  • Processes daily reports, mail, and phone inquiries; determines whether to refile claims, issue refunds, or process adjustments.
  • Handles messages from other departments daily and assists with receptionist duties, including managing co-pays and balancing cash as needed.
  • Ensures all received mail is processed within two days, documenting all information in the client account notes.
  • Answers phone calls courteously, addressing inquiries and transferring calls to the appropriate personnel when necessary.
  • Performs all other relevant tasks and responsibilities as required.