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Medical Billing Specialist
2 months ago
Job Summary:
The Billing and Collections Administrator will play a crucial role in ensuring timely and accurate billing and collections for our organization. This individual will be responsible for coordinating with insurance companies, resolving unpaid or denied claims, and implementing effective strategies to maximize reimbursement for services provided.
Key Responsibilities:
- Collaborate with insurance companies to proactively address unpaid or denied claims, striving for full collection of revenues.
- Implement effective strategies to resolve claim disputes and discrepancies, ensuring maximum reimbursement for services provided.
- Monitor and assess billing records to identify opportunities for adjustments and corrections as needed.
- Utilize comprehensive documentation, reference materials, and payer websites to process claims with precision and efficiency.
- Stay updated on the latest billing and coding guidelines to ensure claims meet compliance standards.
- Play a pivotal role in addressing front-end rejections by working closely with clearing houses to resolve issues promptly, minimizing billing delays.
- Proactively reconcile and resolve billing discrepancies, ensuring that all financial data is accurate and in alignment with organizational standards.
- Accurately post payment remittances and generate detailed reports, facilitating transparency in financial transactions and aiding in financial analysis.
- Monitor and manage the Accounts Receivable (A/R) aging report, identifying and addressing overdue accounts, and implementing collection strategies as necessary.
- Collaborate effectively with the billing team and other departments to tackle special projects, such as process improvements, system enhancements, and revenue optimization initiatives.
- Stay up-to-date with changes in billing regulations, coding guidelines, and insurance policies to ensure compliance and accuracy in billing processes.
- Demonstrate adaptability in handling a variety of billing scenarios and proactively identify and address issues to maintain the integrity of the billing process.
Requirements:
- Associate degree and/or Certified Medical Billing Specialist.
- At least one (01) year of medical billing experience. More than three (03) years of medical billing experience preferred.
- Excellent verbal and written communication skills.
- Excellent problem-solving and critical thinking skills.
- Intermediate Microsoft Excel preferred.
- High attention to detail.
- Ability to multi-task, prioritize, and meet deadlines.
- Ability to perform repetitive tasks with a high degree of accuracy.
- Strong knowledge of various payer websites and interpreting denial reasons.
- Familiarity with HSys+, Ability ease All-Payer, CARETIME, and HHAeXchange are preferred.
Language: English
Minimum Experience: 1-2 years
Contact Information: Human Resources
