Medical Biller/Collections Specialist

1 day ago

New Hyde Park, United States Robert Half Full time
Job DescriptionJob Description

We are in search of a Medical Biller/Collections Specialist to join our team. This role offers a long-term contract employment opportunit. You will be responsible for ensuring accurate and efficient processing of medical billing, handling insurance claims, and maintaining comprehensive billing reports.


Responsibilities:


• Accurately process customer medical billing and insurance claims.

• Prepare and submit clean claims to various insurance companies electronically or in paper form.

• Manage and resolve all rejects or invalids appropriately.

• Maintain and manage all billing reports to ensure collections and reduce denials.

• Handle third-party recoveries effectively and accurately.

• Ensure effective and accurate processing and posting of insurance/client payments.

• Resolve discrepancies regarding inaccurate payment levels received.

• Collaborate with Accounting and Clinic staff to ensure billing information is accurate and expedient.

• Utilize best practices for insurance and patient collections while maintaining excellent public relations.

• Work closely with the Fiscal Department and Programs to resolve issues regarding individual’s eligibility.

• Understand collection practices, clean claims, timely filing guidelines, and other regulations to reduce risks.

• Perform office-related support tasks, which may include creating reports, typing, filing, faxing, answering telephones, taking messages, and making copies.

• Proficiency in Accounting Software Systems is required
• Must have experience with Accounts Receivable (AR) management
• Familiarity with authorizations procedures is necessary
• Understanding of Benefit Functions is essential
• Must be able to perform Billing Functions efficiently
• Knowledge of MS Great Plains Accounting is a must
• Prior experience in medical billing or collections is preferred
• Strong communication and interpersonal skills are needed
• Ability to work in a fast-paced environment and manage multiple tasks
• High attention to detail and accuracy is crucial
• Must have problem-solving skills and the ability to make sound decisions
• Knowledge of medical terminology and insurance practices is beneficial
• Must have a high level of integrity and maintain confidentiality of patient information.

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