Medical Billing and Accounting Specialist

Strategic Insight, Ltd.•Arlington, VA

About The Position

Neurology Services, Inc. is hiring a full-time Medical Billing and Accounting Specialist to support its neurology practice. The role is responsible for posting charges and payments for medical services and managing accounts throughout the collections process. Timely claim submission and follow-up, accuracy, and persistence are essential to prevent delayed, reduced, or lost revenue. The specialist provides billing information to an outsourced billing company, confirms insurance coverage for pending care, reconciles billing and payment data, tracks claim and payment timelines, and addresses denied payments. The position may require travel between the practice’s three offices based on staffing and patient needs; a reliable personal vehicle is suggested. The role also includes daily payment posting, claim and statement processing, payer follow-up, account collection, reporting, adjustments, refunds, appeals, and patient assistance. The employee is expected to protect patient confidentiality, follow applicable rules and regulations, attend training and meetings as requested, and maintain professional, ethical, accurate, and timely work. The schedule is 9:00 a.m. to 5:00 p.m. Monday through Friday and 9:00 a.m. to noon Saturday.

Requirements

At least 5 years of experience with medical insurance billing.
Positive attitude.
Excellent communication skills.
Technological savviness.
Experience with electronic medical records.
Experience with medical-type databases.
Self-motivated, organized, detail-oriented, and a team player.
Professional conduct, ethical standards, honesty, and attention to confidentiality.
Ability to provide references, salary requirements, and a cover letter explaining why the applicant is a good fit.

Nice To Haves

Neurology clinical practice experience.

Responsibilities

Provide patient and medical test billing information to the outsourced billing company.
Confirm that patients’ insurance will pay for pending clinical care.
Reconcile in-office numerology data for patients and medical testing with information sent to the billing company.
Track claim submission timelines and payment timelines for insurance companies, Medicare, Medicaid, and the Veterans Administration.
Reconcile revenue inputs and denied payments with in-office outputs.
Refer denied payments to an outsourced collections company.
Post insurance, patient, and credit-card payments for assigned payers daily.
Complete claim forms and submit patient statements and claims.
Manage claim submission for assigned payers and minimize errors.
Maintain electronic claim and patient-statement records, including transmission confirmation reports.
Follow up on claims through websites, phone, or correspondence and take steps to secure timely payment.
Monitor insurance payments for accuracy and compliance with payment schedules.
Monitor self-pay and uninsured accounts and follow up on collections.
Work with management to identify payer trends and non-payment issues.
Research and obtain incomplete or additional information needed for billing.
Keep informed about policy changes affecting claim filing and payment timeliness.
Attend plan-representative training and maintain written billing guidelines for insurance companies.
Run weekly and/or monthly reports.
Analyze and process adjustments, refunds, unpaid claims, resubmissions, appeals, and bad-debt accounts as needed.
Protect patient confidentiality and demonstrate legal and ethical responsibility.
Collect account balances, establish payment arrangements, identify patients who qualify for hardship services, and explain reimbursement and account status to patients.
Attend required staff meetings and continuing education courses as requested.
Perform other tasks as requested by the Medical Director or designee.
Travel between the three offices based on staffing and patient needs.