Medical Billing Specialist

Beverly Hills Oncology Me•Beverly Hills, CA

2h•$24 - $30•Onsite

About The Position

The Medical Billing Specialist will be responsible for a variety of tasks related to insurance verification, authorization, patient financial responsibility, and payment processing. This role requires a strong understanding of medical insurance processes, excellent communication and customer service skills, and the ability to work independently and as part of a team. The specialist will play a key role in ensuring optimal patient experience and efficient financial operations within the practice.

Requirements

High school diploma required, Associate or Bachelors degree highly preferred.
Minimum of two years of patient front office and/or billing experience and knowledge of insurance verification/authorization process required.
Must be familiar with the medical authorization process for all types medical insurance including accessing portals of various health plans.
One year of patient financial counseling experience required.
Exposure in Oncology and/or Imaging setting is highly preferred.
Excellent computer skills and EMR knowledge.

Nice To Haves

Associate or Bachelors degree
Exposure in Oncology and/or Imaging setting

Responsibilities

Knowledge of insurance verification and eligibility; authorization processes and ability to identify different kinds of insurance coverage and limitation.
Receive requests for prior authorization and ensure that they are properly and closely monitored within company-set standards.
Collaborate with other departments to assist in obtaining prior authorization /appeals.
Proactively work on prior authorizations that are due to be expired.
Insurance verification for new and current patients, review of incoming authorizations, and accurate input into electronic medical records system (“EMR”).
Responsible for determining patient financial responsibility as determined by the insurance company.
Research and verify patient demographic information through online verification systems.
Verify insurance eligibility; get authorization and ability to identify different kinds of insurance coverage and limitation.
Assists with patient communication when medical coverage authorizations are denied and/or pre-determination is required and monitors when waivers and advance beneficiary forms are required.
Provide administrative services such as collecting and posting payments such as copays and outstanding balances.
Perform patient financial counseling which includes knowledge of and maintaining all financial assistance programs available, educating patients and assisting in the enrollment process.
Establish patient payment plans in accordance with related policies.
Prepares daily statements for patient collections and meets with all patients with outstanding balances.
Prepares and monitors patients’ payment plan agreements and advises supervisor of collection issues.
Post and reconcile all daily patient payments received through front desk effectively utilizing practice management and EMR as directed.
Excellent verbal and written communication skills to communicate with diverse populations including physicians, employees, patients, and families.
Ability to multi-task, work independently and problem solve.
Excellent customer service and problem solving skills to help ensure optimal patient experience.
Coordination of patient care, including scheduling patient appointments as needed.