Billing Specialist

IVY FERTILITY•Sacramento, CA

35d•$25 - $30•Onsite

About The Position

Northern California Fertility Medical Center (NCFMC), a fertility practice in Northern California, is seeking a full-time, onsite Billing Specialist at its Sacramento location. The role is responsible for activities associated with billing and for keeping accounts receivable current through collection techniques and monitoring delinquent payments. The position works in a fast-paced environment involving multiple tasks and frequent interaction with patients and other personnel. It requires frequent in-person and telephone contact with patients; work may be stressful, and interactions are constant and interruptive.

Requirements

At least three years of collection experience in a health care organization.
High school diploma.
Knowledge of medical billing and collection practices, ICD-9, and CPT coding.
Knowledge of computer programs, spreadsheets, and applications.
Knowledge of basic medical coding and third-party operating procedures and practices.
Knowledge of legal, regulatory, and government provisions.
Skill in using computer programs, spreadsheets, and applications for credit entry, retrieval, and modification.
Skill in establishing and maintaining effective internal and external working relationships.
Ability to understand and interpret credit policies and regulations.
Ability to respond courteously to patients on credit matters.
Ability to examine medical documents for accuracy and completeness.
Ability to enter data accurately and examine insurance documents.
Ability to communicate effectively and clearly.

Nice To Haves

Associate degree in healthcare or business administration preferred.

Responsibilities

Gather daily, monthly, and yearly data to determine the status of clinic patient accounts.
Post payments.
Monitor private-pay patient accounts for delinquent payments and determine an appropriate course of action.
Follow clinic collection policies and guidelines, and refer accounts to a collection agency with physician approval.
Use collection management reports to keep accounts receivable current.
Use telephone, mail, and other techniques to collect accounts receivable.
Run routine insurance claim forms and statements weekly according to the cycle.
Appeal underpaid, denied, or pended claims.
Request and send refund checks to patients or insurance companies.
Respond to inquiries and correspondence from patients and insurance companies, and develop collection letters.
Identify and resolve patient billing complaints.
Research credit balances.
Provide backup to the front office as needed.
Perform other duties as assigned.