Healthcare Billing Specialist
2 weeks ago
The Healthcare Billing Specialist plays a crucial role in maintaining the financial health of our practice. This position requires a proactive individual with outstanding customer service skills to manage billing processes effectively.
Our practice prioritizes patient interaction, making exceptional customer service essential. Familiarity with Epic Software is advantageous.
Key Responsibilities:
- Processing and posting charges accurately.
- Managing billing for secondary claims.
- Reviewing insurance accounts receivable reports monthly, including handling appeals, making insurance calls, correcting errors, and resubmitting claims.
- Overseeing patient accounts receivable, which involves contacting patients regarding overdue accounts, sending reminder letters, verifying insurance coverage, setting up payment plans, and referring accounts for collections.
- Responding promptly to patient inquiries via phone and email, assisting with payment processing and receipt issuance.
- Identifying ongoing charge entry or denial issues that may impact reimbursement and collaborating with management for resolution.
- Understanding and explaining EOBs, insurance contracts, and guidelines to patients.
- Utilizing knowledge of each payer's fee schedule to ensure accurate payment receipt.
- Being knowledgeable about various insurance types, including HMO, PPO, EPO, POS, self-pay, and government policies related to reimbursement.
- Collaborating with management on special projects as required.
Qualifications:
- Medical Billing Certification or a minimum of one year of relevant experience is mandatory.
- Excellent customer service abilities, capable of managing a high volume of phone inquiries.
- In-depth understanding of medical billing and coding, along with familiarity with multiple insurance providers, including Medicare and private HMOs and PPOs.
- Strong written, verbal, and interpersonal communication skills are essential.
- Able to work independently with minimal supervision while demonstrating responsibility and maturity.
- Proficient in Excel, Word, and Medical Billing Software.
- Working knowledge of medical terminology is required.
- Experience in pediatric or cardiology settings is preferred.
We are a busy private practice specializing in Pediatric Cardiology, consisting of a dedicated team of seven physicians.
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