Billing Specialist

3 hours ago


Buffalo, New York, United States Dent Neurologic Group LLP Full time
Job Summary

We are seeking a highly organized and detail-oriented Billing Specialist to join our team at Dent Neurologic Institute. As a key member of our revenue cycle team, you will be responsible for initiating and coordinating the follow-up process to review and collect on all submitted medical claims.

Key Responsibilities:

  • Follow up and denial process
  • Research and follow up on outstanding receivables via telephone, provider inquiry form, and written correspondence
  • Document every claim with current status of appeal, as well as call reference numbers and/or insurance representative information
  • Utilize technology to accomplish tasks efficiently and effectively, including working knowledge of computer applications such as Word, Excel, and internet browsers to access various insurance carrier websites for updates and insurance procedures/treatment policies
  • Understand payer appeal process when claims appeal efforts do not succeed, and know when and how to move to a formal appeal process
  • Work assigned insurance denial bucket
  • Work assigned follow-up claims
  • Working Medicaid claims by putting them through epaces
  • Responsible for working 45, 90, 120+ day aging claims
  • Negative balance claims and refunds
  • Meeting claim filing deadlines
  • Printing HCFA claims
  • EBO report generated every Monday for patients with balances
  • Process medical expense reports
  • Sort mail appropriately and work insurance correspondence
  • Strict adherence to Dent policies, refund policies, and other accounts receivable policies is required
  • Performs other duties assigned by Billing Manager, Team Lead, Sr. Revenue Cycle Manager, or CFO
  • Answer all phone calls in an effort to assist patients with billing questions
  • Ability to accept responsibility for appropriate conduct within the office setting and with other department associates by interacting calmly, respectfully, and in a friendly manner with other representatives of services at Dent
  • Maintains strict confidentiality of patient information
  • Completes duties in a time-efficient manner as set forth by the Team Leader. Reports errors or problems so that appropriate action may be taken for patient care

Requirements:

  • Must have understanding of the different insurance plans, contracts, and policies
  • Must know how to interpret EOBs, understand copay, co-insurance, deductibles, and retractions
  • Knowledge of other billing processes such as claims management, charge entry, payment posting, and patient financial clearance
  • Knowledge of insurance verification process, referral, and authorizations requirements
  • Knowledge of electronic claim submission
  • Understanding of patient check-in/check-out process along with a working knowledge of CPT, ICD-9, ICD-10, HCPCs, and Modifiers
  • Previous working experience in an outpatient medical practice
  • Medical terminology
  • Strong sense of urgency to work within deadlines
  • Ability to prioritize multiple tasks simultaneously in an occasionally stressful environment
  • Strong general office skills, including typing skills
  • Strong customer service, planning, problem-solving, and organizational skills
  • Working knowledge of Microsoft Windows programs, including Excel and Word
  • Working knowledge of general office equipment, including multi-line phone, computer, copier, calculator, and fax machines
  • Effective communication and interpersonal skills

Education:

  • High school diploma with a minimum of 2 years of medical billing experience

Preferred Education:

  • Associates degree in medical billing and reimbursement with a minimum of 1 year of medical billing experience

Working Conditions:

  • Normal working environment, typical of most office settings
  • Minimal physical effort, requires some lifting of files, usually not in excess of 15 pounds
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Compensation:

  • Most candidates will start within the first quartile of the pay range
  • Rates are commensurate with experience

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