Clinic Billing Specialist
About The Position
As a Clinic Billing Specialist, you will manage various aspects of clinic billing. This includes registering patients, preparing and posting daily charges, and processing insurance claims. Every day, you will review and post payments and adjustments from various sources, balancing daily operations and cash. You will respond to patient inquiries regarding coverage and balances, assist with payments, and monitor denied claims to ensure maximum reimbursement. Your responsibilities include researching patient complaints, processing claims for resubmission, and monitoring specific programs. You will assist providers with forms, review insurance correspondence, and implement changes from bulletins. Additionally, you will obtain authorizations, photocopy medical records, correct addresses on returned mail, and act as a back-up for colleagues. To be successful in your role, you will meticulously manage all aspects of clinic billing, from patient registration and daily charge posting to insurance claim submission and payment reconciliation. You will demonstrate exceptional attention to detail in processing complex insurance documentation (EOBs, remittances), proactively resolving denied claims, and serving as a vital resource for patients, providers, and internal departments regarding billing issues and coverage, thereby optimizing revenue cycle efficiency and ensuring customer satisfaction.
Requirements
- High School Diploma or GED.
- Minimum of one year of experience in a clinical or general business office.
Responsibilities
- Register patients, prepare and post daily charges, and reconcile payments and adjustments.
- Process and submit claims, monitor denials for resubmission, and interpret insurance correspondence (EOBs/remittances) to ensure maximum reimbursement.
- Respond to inquiries regarding coverage and balances, assist with payment processing, and resolve billing complaints.
- Obtain authorizations, manage medical records, update patient information, and assist providers with billing forms and insurance bulletins.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
