Billing Specalist

Brandywine Urology Consultants•New Castle, DE

9d•$20 - $24•Onsite

About The Position

The Billing Specialist is responsible for accurately inputting charges and payments into the practice management system, ensuring timely reimbursement and maximum patient satisfaction. This role involves managing patient accounts, following up on outstanding claims and balances, and providing information on billing and coding to physicians and managers. The specialist will also handle claim submissions, process refunds, reconcile deposits, and monitor reimbursement rates. Proficiency with the medical practice management system and maintaining organized records are key aspects of this position, along with adherence to practice policies regarding OSHA, HIPAA, and Medicare Compliance.

Requirements

Medical billing: 2 years (Required)
Proficiency with all facets of the medical practice management system including patient registration, charge entry, insurance processing, advanced collections, reports and ledger inquiry.
Adherence to all practice policies related to OSHA, HIPAA and Medicare Compliance.

Nice To Haves

High school or equivalent (Preferred)
Medical collection: 2 years (Preferred)

Responsibilities

Input all charges related to the assigned physician's professional services into the practice management system, including office and hospital charges, ensuring accuracy and balancing batches.
Post all payments, by line-item, received for physician's professional services into the practice management system, including co-payments, insurance payments, and patient payments, ensuring batches are balanced.
Post all credit and debit adjustments to patient accounts according to the Procedure Manual guidelines.
File all charge, payment, and adjustment batches in the appropriate format by batch date for quick reference.
Review physician's coding at charge entry to ensure compliance with Medicare guidelines and accurate reimbursement.
Provide customer service via telephone and in person to patients and authorized representatives regarding patient accounts, returning calls within 2 business days.
Verify all demographic and insurance information in patient registration to ensure accuracy and provide feedback to front office staff.
Follow-up on all outstanding insurance claims at 30, 45, and 60 days from the date of service.
Follow-up on all outstanding patient account balances at 35, 60, 90, and 120 days from the date of service using A/R aged reports.
Provide information pertaining to billing, coding, managed care networks, insurance carriers, and reimbursement to physicians and managers.
Follow-up on all 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 semi-weekly.
Attend relevant seminars to stay updated 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.
Monitor reimbursement from managed care networks and insurance carriers to ensure consistency with contract rates.
Demonstrate proficiency with all facets of the medical practice management system.
Maintain organized and easily referenced information regarding coding, insurance carriers, managed care networks, and credentialing.
Maintain an organized, efficient, and professional work environment.
Adhere to all practice policies related to OSHA, HIPAA, and Medicare Compliance.
Perform other duties as assigned.