Financial Services Specialist

Verbal Beginnings•UNAVAILABLE, UNAVAILABLE

About The Position

The Financial Services Specialist will play a crucial role in ensuring the accurate and timely processing of medical billing, claims submission, and reimbursement. The Financial Services Specialist will work collaboratively with internal departments, insurance providers, and patients to navigate the complexities of the billing process, contributing to our organization's financial health.

Requirements

Five to seven years of related work experience, preferably in a healthcare or commercial payor setting.
Proficiency in the Google Suite, with advanced skills in Sheets or a Microsoft Excel equivalent.
Excellent attention to detail with the ability to multitask and prioritize work effectively.
Strong verbal and written communication skills, with the ability to interact professionally with internal and external stakeholders.
Demonstrated problem-solving skills and the ability to work independently and as part of a team.
High level of interpersonal skills and professionalism.
Able to maintain a professional demeanor.

Nice To Haves

Experience with CentralReach or related EHR systems is a plus.

Responsibilities

Generate and submit accurate and timely medical claims to insurance providers.
Verify the completeness and correctness of billing information, including patient demographics, insurance details, and procedural codes.
Review and correct coding errors or discrepancies to ensure compliance with billing regulations.
Verify patient insurance coverage and eligibility for services.
Obtain and document pre-authorization and referrals as required.
Address and resolve issues related to insurance coverage and claims processing.
Post payments accurately to patient accounts and reconcile discrepancies.
Monitor and follow up on outstanding accounts receivable and denied claims.
Work with insurance companies to resolve payment discrepancies and ensure accurate reimbursement.
Generate and send patient statements for outstanding balances.
Address patient inquiries related to billing, insurance, and account balances.
Provide clear and concise explanations of billing processes and financial responsibilities to patients.
Stay informed about changes in healthcare billing regulations and coding guidelines.
Ensure compliance with billing and coding standards, including HIPAA regulations.
Maintain accurate and detailed documentation of billing activities.
Collaborate with internal departments, including the clinical administrative team as well as clinicians, to resolve billing-related issues.
Communicate effectively with insurance companies to resolve billing discrepancies and ensure accurate reimbursement.