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Healthcare Billing and Insurance Coordinator

2 months ago

Dallas, Texas, United States Bare Dermatology Full time
Job Overview

Position Summary:

The Healthcare Billing and Insurance Coordinator is responsible for managing the billing processes related to insurance and patient collections. This role involves analyzing financial data, securing necessary authorizations for surgical procedures, and ensuring the accuracy of various software applications.

Key Responsibilities:

The primary duties include, but are not limited to, the following:

  • Respond to incoming inquiries from patients regarding their billing concerns.
  • Facilitate the collection of outstanding patient balances and establish payment arrangements.
  • Review upcoming patient appointments weekly, contacting patients to inform them of any outstanding balances or credits.
  • Act as a liaison among patients, healthcare facilities, and customer service representatives to resolve any insurance or account-related issues.
  • Gather precise information regarding surgical benefits and provide accurate quotes for procedures.
  • Ensure that all necessary precertifications for surgeries are obtained and communicate any additional information needed to scheduling personnel.
  • Investigate and appeal claims as necessary.
  • Utilize ModMed software for various tasks, including file management and operational duties.
  • Work independently with minimal oversight.
  • Be open to taking on additional responsibilities as required.

Qualifications:

  • High School Diploma or equivalent (GED).
  • Ability to read and comprehend insurance Explanation of Benefits (EOBs), denial codes, and medical terminology.
  • Experience in verifying insurance benefits, as well as handling precertifications, predeterminations, and referrals is essential.
  • Familiarity with EMA/ModMed software is highly preferred.
  • A minimum of two years of recent experience in a Medical Billing role or a similar position.