ON-SITE MEDICAL BILLING SPECIALIST

Sun Life Health•Casa Grande, AZ

8d•Onsite

About The Position

The Medical Billing Specialist will provide accounts receivable management services, including payment posting and claims follow-up. This role is crucial for managing the daily receivables and ensuring efficient financial operations within the medical office.

Requirements

High School diploma or equivalency
Five years of experience in a Medical Office billing environment
Courses in medical terminology and coding
Experience in problem-solving and the use of analytical skills
Computer literate

Responsibilities

Manage the effective use of Owner Lists in the practice management system for daily receivables management, focusing on denial review, mail work, and aging accounts, prioritizing resolution of accounts older than 61 days or high-dollar accounts.
Process miscellaneous tasks including write-offs, appeals, refunds, and medical records requests.
On assigned payment days, obtain copies of mail checks, EOBs, and patient payment remittance advices (hard copies or from clearinghouse/websites).
Post all insurance payments to the correct patient accounts in the practice management system.
Run daily reports (day sheet from practice management system and daily summary from Access) after posting is complete.
Reconcile the sum of these reports with the bank deposit slip for the day using the Daily Cash Reconciliation and report any discrepancies to the Business Office Manager.
Update patient demographics based on EOB information as necessary.
Make recommendations to the Business Office Manager for improvements in areas affecting accounts receivable.
Monitor claims continuously to ensure payment before or by 60 days aging, aiming for 65% of A/R to be in the 0-30 and 31-60 days buckets.
Monitor for unacknowledged claims and ensure timely re-billing.
Participate with billing office personnel in correcting and rebilling claims not adjudicated upon initial billing.
Keep the Business Office Manager informed about statistical information regarding the correcting and rebilling process.
Design and manage feedback loops to prevent recurring payment delay issues.
Notify the Business Office Manager of any incorrect disbursement of charges, payments, or adjustments in the practice management system.
Participate in group projects as needed to correct billing issues in the practice management system and related software.