Medical Billing Specialist

ASSOCIATED RETINA CONSULTANTS•Casa Grande, AZ

3d•Onsite

About The Position

We are looking for an organized, efficient Medical Billing Specialist with an eye for detail and high level of accuracy. The Billing Specialist is responsible for posting insurance payments, entering charges, and assisting patients with their accounts. Position requires accuracy, thoroughness, and a good understanding of insurance procedures for referrals, co-pays, deductibles, allowable, CPT codes and Dx codes.

Requirements

High School Diploma or Equivalent required.
2+ years medical billing experience preferred.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Proficient in Microsoft Word, Outlook, Excel, and 10 key calculators.
Basic knowledge of medical terminology, including CPT/ICD-10 coding.
Effective communication abilities for phone contacts with insurance payers to resolve issues.
Knowledge of medical terminology likely to be encountered in medical claims
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Planning and organizing
Attention to detail, accuracy, and efficiency
Problem-solving
Teamwork
Multitasking
Customer service
Electronic Medical Records (EMR)
Communication skills - verbal and written
Integrity

Responsibilities

Work with personal information and maintain patient confidentiality
Weekly and monthly reporting to executive director and billing supervisor.
Verify the accuracy of all claims before submission and ensure all claims are submitted with a goal of zero errors and review claims and claims denials to ensure maximum reimbursement for services provided.
Utilize monthly aging accounts receivable reports for follow-up on unpaid claims aged over 30 days.
Review referrals and authorizations
Respond to questions and complaints from patients or insurance companies
Research and appeal denied claims.
Read and interpret insurance explanation of benefits and respond to inquiries from insurance companies, patients, and providers.
Other responsibilities as judgment or necessity dictate.
Meet defined department goals and activity metrics.
Initiate late payment notices to relevant parties
Identify and bill secondary and/or third-party insurances.
Follow set billing processes and procedures and follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO.
Ensure patient information is accurate and complete and request any missing patient information.
Create both paper and electronic copies of documentation
Collect delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.