Billing and Collections Coordinator

1 week ago

Wichita Falls, Texas, United States Mystaf Career Page Full time
Job Overview

Position: Billing and Collections Specialist

Schedule: Monday - Friday, 8 AM - 5 PM


Classification:

Business Office


Key Responsibilities
  • Calculate insurance benefits, allowances, adjustments, and patient balances accurately.
  • Submit insurance claims using HCFA 1500 or UB forms for provided services.
  • Maintain positive relations with internal departments, clients, and insurance providers.
  • Process tracers and confirm reimbursements from all payers.

Qualifications
  • High School Diploma or equivalent required.
  • Must have a clean background and pass a drug screening.
  • Preferred: Minimum of two years' experience in a medical or rehabilitation environment.
  • Effective communication skills in English, both written and verbal.

Knowledge, Skills, and Abilities
  • Comprehensive understanding of insurance processes, including the ability to analyze and compile billing data on UB and HCFA forms.
  • Familiarity with filing and collection practices for various payers.
  • Proficient in calculating insurance benefits, allowances, adjustments, and patient balances.
  • Demonstrated knowledge of the appeal process with insurance carriers.
  • Understanding of patient accounts and the ability to discuss account details with clients and insurers.
  • Ability to interpret and apply governmental regulations and guidelines.

Duties and Responsibilities
  • Compile and prepare insurance forms for billing, utilizing client and insurance data. Calculate and post adjustments and expected payment amounts to client accounts. Investigate and post charges accurately. Ensure daily filing of claims to meet departmental objectives.
  • Manage follow-up reports to ensure timely payments and adherence to deadlines.

Verify and calculate payments, ensuring accurate insurance reimbursements are received. Post adjustments and confirm account balances. Identify short payments and process refunds as necessary. Follow up on incorrect payments or denials promptly. Maintain proper account statuses and report any consistent discrepancies to the Director of Records & Reimbursement.


  • Handle daily reports, mail, and phone communications; assess whether to refile claims, issue refunds, or process adjustments. Respond to messages from other departments daily. Assist with reception duties, including co-pay handling and cash box balancing as required.
  • Ensure all received mail is processed within two days. Document all information in the client account notes. Answer phone inquiries courteously, providing information or transferring calls as needed.
  • Perform additional tasks and responsibilities as necessary.

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