Medical Billing Specialist
About The Position
CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. JOB SUMMARY: This position is responsible for posting all third-party insurance payments, process all denials appropriately and follow up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R. WORK SCHEDULE DEMANDS: This is a full-time position, 40 hours a week.
Requirements
- 1-3 years of experience in third-party billing
- Must possess all basic billing knowledge and understanding of third-party reimbursement
- Knowledge of physician referral protocols and conventions
- Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures and documentation
- High School Diploma or GED
- Must have excellent communication skills both written and verbal, and internal personal skills.
- Ability to read, understand and follow oral and written instructions
- Must possess professional telephone manner
- Must be able to use a computer and possess basic skills in Microsoft Office products, ie Excel, Outlook and Word
- Excellent analytical and problem-solving skills
- Ability to perform multiple tasks effectively
- Able to work both independently and as part of a team
- Strong knowledge of practice management system, preferred
- Bilingual in Spanish, preferred.
- Provide/maintain all required immunizations and/or vaccinations.
- Complete/maintain all required background checks.
Nice To Haves
- Medical Billing Certification, preferred
- Strong knowledge of practice management system, preferred
- Bilingual in Spanish, preferred.
Responsibilities
- Record and post all third-party payments and adjustments in practice management system
- Works with manager to evaluate denials and trends in insurance payments and denials
- Works with Billing Manager and Site Managers to train and educate staff on proper procedures
- Answers questions from patients, clerical and front desk staff and insurance companies
- Identifies and resolves patient billing complaints
- Prepares and reviews weekly patient statements
- Evaluates patient’s financial status and establishes budget payment plans.
- Follows and reports status of delinquent accounts
- Participates in educational activities and attends monthly staff meetings
- Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers
- All other assignments as directed by Billing Manager
Benefits
- Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, life insurance, long term disability, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, Employee Assistance Program, generous vacation, sick and personal days, and up to 13 available paid holidays for full-time employees and some benefits are included for part-time employees.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
