Healthcare Billing Specialist

2 weeks ago

Plymouth Meeting, Pennsylvania, United States Specialist Office Full time
Job Overview

Position: Healthcare Billing Specialist

Location: Specialist Office

We are seeking a skilled Healthcare Billing Specialist with a minimum of 2 years of experience in medical billing and accounts receivable management. The ideal candidate will possess a comprehensive understanding of billing processes across various insurance providers and demonstrate expertise in full accounts receivable and revenue cycle management.

Key Qualifications:

  • Proficient in handling appeals and denials with a strong background in Excel.
  • Experience with Electronic Medical Records (EMR) systems.
  • Ability to draft appeal letters and manage high-volume transactions effectively.
  • Detail-oriented with a commitment to accuracy in all billing processes.

Responsibilities:

The Healthcare Billing Specialist will be responsible for the following:

  • Reviewing aged patient accounts to ensure timely resolution and payment.
  • Managing patient inquiries through both in-person and telephone communication regarding account balances and payment options.
  • Maximizing collections by diligently monitoring open accounts receivable.
  • Proactively following up on claim denials and unpaid accounts.
  • Conducting collection calls and coordinating overdue account submissions to collection agencies.
  • Completing end-of-day processes and providing accurate daily reports to management.
  • Posting insurance and patient payments, as well as managing write-offs.
  • Preparing documentation for appeals and resubmitting corrected claims within required timelines.
  • Resolving registration and insurance eligibility issues as they arise.
  • Establishing and maintaining patient payment plans.
  • Contributing to the development of strategies aimed at reducing denials and enhancing reimbursement rates.
  • Maintaining professionalism and fostering positive relationships with patients.
  • Assisting in the training of new and existing staff on departmental policies and systems.
  • Upholding all practice and departmental policies, objectives, and quality standards, while ensuring compliance with HIPAA regulations and patient confidentiality.
  • Identifying and addressing revenue cycle billing issues promptly.
  • Preparing accounts receivable aging reports and monitoring overdue items.

The Specialist Office is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or status as a protected veteran or individual with a disability.

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