Medical Billing Specialist

2 weeks ago

Atlanta, GA, United States Staff Financial Group Full time
Job Description

Accounts Receivable Specialist (Healthcare and Legal Billing)

Key Responsibilities:
  • Communicate and collaborate with PCM/CSR to request payment and update payment status.
  • Follow up on unpaid medical insurance claims within the standard billing cycle timeframe.
  • Review and appeal denied or unpaid medical claims.
  • Generate and review statements for legal services related to healthcare billing.
  • Call patients regarding all non-responsive attorneys.
  • Schedule follow-up reminders for assigned attorneys.
  • Document actions in the practice management system.
  • Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records.
  • Prepare reports and analyze accounts receivable status for management review.
  • Answer all attorney/patient inquiries pertaining to assigned accounts.
  • Carry out collection and reporting activities according to specific deadlines.
  • Collaborate with teams and the Director to discuss account statuses, challenges, and collection strategies periodically.
  • Maintain confidentiality of patient and legal information in accordance with HIPAA regulations and ethical standards.
Job Requirements:
  • Proven experience as a Medical Accounts Receivable Specialist or Legal Accounts Receivable Specialist, preferably in a healthcare setting.
  • Familiarity with medical and legal billing software (e.g., Nextgen) and proficiency in modern IT software (e.g., Microsoft Office Suite, Excel, PowerPoint, Salesforce, Word, etc.).
  • Strong understanding of medical billing processes, including CPT and ICD-10 coding, and legal billing practices.
  • Exceptional communication and interpersonal skills, with the ability to interact professionally with healthcare providers, legal professionals, and patients.
  • Excellent attention to detail and the ability to maintain accuracy in billing records.
  • Customer service skills for interacting with attorneys and patients regarding payments.
  • Ability to work well in a team environment, prioritize tasks, and multitask efficiently.
  • Strong organizational and time-management skills.
  • Problem-solving skills to research and resolve discrepancies and collections.
  • A calm manner and patience when working with patients and attorneys.
  • Knowledge of legal terminology and procedures related to healthcare billing is preferred.
  • Understanding the collection process, including when to call attorneys, follow up, confirm balances, and obtain proof of payment from attorneys.
  • Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Preferred Qualifications:
  • A minimum of two (2) years of experience in a healthcare billing/accounts receivable environment or related field, or any combination of education, training, or experience in a healthcare business office environment.

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