Billing Specialist

Brandywine Urology Consultants•New Castle, DE

21d•$20 - $24•Onsite

About The Position

The Billing Specialist enters and posts charges, payments, and adjustments for physician professional services in the practice management system. The role supports accurate, timely reimbursement and patient satisfaction through batch balancing, claim submission, account follow-up, and processing refunds. It also provides billing-related customer service, verifies patient demographic and insurance information, monitors reimbursement against contracted rates, and maintains organized billing records and a professional work environment. The specialist must follow practice protocols and comply with OSHA, HIPAA, Medicare, and coding guidelines.

Requirements

Two years of medical billing experience.
High school diploma or equivalent preferred.
Proficiency with the medical practice management system, including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.
Ability to follow practice protocols and comply with OSHA, HIPAA, and Medicare requirements.

Nice To Haves

Two years of medical collection experience.
High school diploma or equivalent.

Responsibilities

Enter charges for assigned physicians’ professional services, including office and hospital charges, and balance charge batches before posting.
Post line-item payments, including co-payments, insurance payments, and patient payments, and balance payment batches before posting.
Post credit and debit adjustments to patient accounts according to the Procedure Manual.
File charge, payment, and adjustment batches by batch date in the appropriate format.
Review physician coding during charge entry for Medicare compliance and accurate reimbursement.
Provide telephone and in-office customer service to patients and authorized representatives regarding patient accounts; return accounts-receivable calls within two business days.
Verify patient demographic and insurance information at charge entry and provide feedback to front-office staff.
Follow up on outstanding insurance claims at 30, 45, and 60 days from the date of service.
Follow up on outstanding patient balances at 35, 60, 90, and 120 days from the date of service using aged accounts-receivable reports.
Provide physicians and managers with information about billing, coding, managed care networks, insurance carriers, and reimbursement.
Follow up on returned claims, correspondence, denials, account reconciliations, and rebills within five working days of receipt.
Submit primary and secondary insurance claims electronically each day and on HCFA forms semi-weekly.
Attend relevant seminars on obstetric and/or gynecology accounts receivable, Medicare compliance, and HIPAA.
Recommend accounts for outside collection when internal collection efforts fail.
Process refunds to insurance companies and patients.
Reconcile incoming lockbox deposits as required.
Monitor reimbursement from managed care networks and insurance carriers for consistency with contract rates.
Use the medical practice management system’s patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry features.
Maintain organized reference information about coding, insurance carriers, managed care networks, and credentialing.
Maintain an organized, efficient, and professional work environment.
Adhere to practice policies related to OSHA, HIPAA, and Medicare compliance.
Perform other duties as assigned.