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Medical Billing Specialist
2 months ago
Education:
High School Diploma or GED
Nature of Work:
Focused on Collections of patient accounts - patients using LVAD (Left Ventricular Assist Device), filing claims, reviewing EOBs (Explanation of Benefits) from Insurance companies with patient over the phone, taking numerous telephone calls per day that drop into queue, using proper Codes to bill
Skills Needed:
Good Listening, good communication, fine attention to detail, good telephone skills, good customer service, good time-management skills, good analytical skills, good problem solving skills
Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices; reports any Compliance issues to the Director of Operations.Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility.Responsible to follow-up as necessary to facilitate the collection of co-pays.When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account.Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and/or client to obtain missing information needed to set up client for service. Ensures that the data is accurate and complete.Confirms all sales orders in the system and ensures that all required information (e.g. proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment.Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete.Responsible for the timely submission of claims (electronic and paper as needed) to payers; Corrects and resubmits front-end and back-end rejected claims.Ensures that all cash is posted to the correct account in a timely manner.Responsible for the timely follow-up and collection of payments due to the organization.This is accomplished by generating invoices and/or following up with clients and/or payers.Uses available resources to maintain current regulatory guidelines and reimbursement information to insure that the company is obtaining all appropriate information as required for billing and reimbursement.Performs other duties/projects as assigned by management including customer service support: processing, resolving and logging customer inquiries.- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
