Billing Specialist

IVY FERTILITY•Sacramento, CA

35d•$25 - $30•Onsite

About The Position

General Summary of Duties: Responsible for the activities associated with the billing function. Responsible for using collection techniques to keep accounts receivable current including monitoring for delinquent payments. Essential Functions: Gathers data on daily, monthly and yearly basis to determine status of clinic patient accounts. Posts payments. Monitors private pay patient accounts for delinquent payments and determines course of action. Follows clinic collection policy and guidelines and refers to collection agency upon physician approval. Uses collection management reports to keep accounts receivable current. Uses telephone, mail, and other techniques to aid in collection accounts receivable. Runs routine insurance claim forms and statements weekly per cycle. Appeals underpaid, denied, or pended claims. Requests, send refund checks to patients/insurance companies. Answers inquiries and correspondence from patients and insurance companies; develops collection letters. Identifies and resolves patient billing complaints. Researches credit balances. Back up to front office, as needed. Other duties as assigned.

Requirements

Minimum three years of collection experience in a health care organization.
High School diploma.
Knowledge of medical billing/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 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 to patients on credit matters in courteous fashion.
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

Gathers data on daily, monthly and yearly basis to determine status of clinic patient accounts.
Posts payments.
Monitors private pay patient accounts for delinquent payments and determines course of action.
Follows clinic collection policy and guidelines and refers to collection agency upon physician approval.
Uses collection management reports to keep accounts receivable current.
Uses telephone, mail, and other techniques to aid in collection accounts receivable.
Runs routine insurance claim forms and statements weekly per cycle.
Appeals underpaid, denied, or pended claims.
Requests, send refund checks to patients/insurance companies.
Answers inquiries and correspondence from patients and insurance companies; develops collection letters.
Identifies and resolves patient billing complaints.
Researches credit balances.
Back up to front office, as needed.
Other duties as assigned.