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Revenue Cycle Analyst

2 months ago

Orlando, Florida, United States Blue Star Partners LLC Full time
Job Overview

Position: Medical Billing Specialist
Company: Blue Star Partners LLC
Contract Type: W-2

Role Summary:

The Medical Billing Specialist plays a crucial role in our organization, ensuring that financial objectives are met through effective billing practices. This position demands a comprehensive skill set to communicate, negotiate, analyze, and resolve issues with both payers and patients while maintaining compliance with regulatory standards.

Key Responsibilities:

  • Ensure adherence to HIPAA and PHI regulations throughout all client information processing stages. Promptly report any compliance concerns to management.
  • Oversee the insurance verification process, ensuring clients are informed of their co-pay obligations and following up as needed to facilitate collections.
  • Collect payment information from clients and accurately input it into the billing system.
  • Timely entry of client data into the system, contacting necessary parties to obtain any missing information for service setup.
  • Confirm all sales orders and ensure all required documentation is complete before submitting claims.
  • Regularly follow up on outstanding sales orders and address billing inquiries until payment is received.
  • Submit claims to payers promptly, addressing any rejections by correcting and resubmitting as necessary.
  • Ensure accurate posting of payments to the appropriate accounts.
  • Generate invoices and follow up with clients and payers to collect outstanding payments.
  • Stay informed on current regulations and reimbursement practices to ensure precise billing.
  • Perform additional duties as assigned, including customer service support and managing inquiries.

Essential Skills:

  • Meticulous attention to detail to ensure accuracy in all tasks.
  • Strong communication and listening abilities.
  • Proficient in documenting accounts with thoroughness and analytical thinking.
  • Ability to interpret explanations of benefits (EOB).
  • Robust analytical skills for effective management of collections.
  • Familiarity with medical billing tools and systems.
  • Proven problem-solving capabilities to navigate challenges in the billing process.
  • Exceptional customer service skills to foster positive relationships with clients and payers.
  • Effective time management skills to prioritize tasks and meet deadlines.
  • Consistent attendance and reliability.

Qualifications:

  • At least 2 years of experience in medical billing or a related field.
  • Proficiency in medical billing software.
  • Understanding of HIPAA and PHI regulations.
  • Experience in managing insurance verification and co-pay collections.
  • Demonstrated ability to accurately manage client information.
  • Familiarity with claim submission and resubmission processes.
  • Strong communication skills for effective interaction with clients and internal teams.
  • Experience in customer service and handling inquiries.
  • Ability to work independently and collaboratively in a dynamic environment.
  • Relevant training or certification in medical billing is advantageous.