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Patient Billing Coordinator
2 months ago
The Billing Specialist plays a crucial role in managing complex clerical and financial tasks related to patient invoicing. This position involves verifying billing information, maintaining accurate records for third-party billing, and addressing various billing issues. The specialist will follow up on claims submissions and patient invoices, collaborating effectively within a team setting.
Key Responsibilities
1. Manage and process claims for patients and other payers, ensuring all supporting documentation is accurately maintained.
2. Address inquiries from patients or insurance carriers regarding billing matters, providing assistance in person, via phone, or in writing.
3. Monitor submitted claims, tracking unpaid claims, initiating follow-ups using EHR software, and re-filing claims as needed within standard billing cycles.
4. Accurately post and reconcile payments to patient accounts, verifying insurance payments against contracted rates.
5. Identify and process claims for secondary and tertiary insurance providers.
6. Review accounts receivable and provide recommendations to management regarding overdue accounts.
7. Analyze patient records to track data related to unpaid visits.
8. Follow up on appeals, denials, and rejected claims with insurance companies.
9. Maintain billing and filing records in accordance with established protocols.
10. Uphold the confidentiality of financial records in compliance with the Health Insurance Portability and Accountability Act (HIPAA).
11. Ensure that recorded CPT/HCPCS/ICD codes align with documentation from providers and adhere to insurance, federal, and state guidelines.
12. Stay informed about ICD/CPT/HCPCS coding and any specific coding requirements relevant to FQHC to ensure best practices in revenue cycle management.
13. Undertake additional duties as assigned.
14. Promote and embody the core values of the organization, including Accountability, Excellence, Integrity, Quality, and Teamwork.
Experience Requirements
- At least one year of experience in a medical office environment.
- A minimum of three years of experience in medical billing.
- Experience with multi-specialty group coding and billing.
- High school diploma or equivalent.
- Medical Coding Certificate; RHIT or CPC certification from AAPC or AHIMA; must meet state licensure requirements.
- Proficient in computer systems and automated recordkeeping.
- Familiarity with Electronic Medical Record software, Microsoft Office Suite, and Google Drive.
- Strong communication skills, both written and verbal.
- Ability to work independently and collaboratively as part of a team.
- Effective multitasking, prioritization, and time management skills.
- Attention to detail and accuracy.
- Organized and goal-oriented team player.
- Bilingual in English and Spanish is preferred.
- Knowledge of government regulations and insurance payer policies in healthcare, ensuring compliance with coding standards.
- Understanding of medical terminology, anatomy, and physiology.
Upon receiving a preliminary job offer, a physical examination will be required before acceptance.
Light to moderate physical tasks include sitting, standing, walking, reaching, bending, hearing, and speaking for up to eight hours daily. Good vision is necessary, with or without corrective lenses. The ability to lift up to twenty pounds is required, primarily involving occasional lifting of office supplies and minor equipment.
