Job Summary: The Medical Billing Specialist - Accounts Receivable is responsible for managing and following up on claims, processing payments, and ensuring the timely collection of outstanding accounts. This role involves working closely with insurance companies, patients, and healthcare providers to maximize reimbursement and maintain accurate account records.
Duties and Responsibilities:
Accounts Receivable Management: Track and monitor outstanding payments to ensure timely collection and follow-up with insurance companies and patients for unpaid balances.
Claims Processing: Submit and manage insurance claims to ensure proper processing and payment. Identify and resolve any claim issues or rejections.
Payment Posting: Accurately post payments from insurance companies and patients to accounts, ensuring all balances are updated.
Reconciliation: Reconcile accounts and resolve any discrepancies between expected and actual payments.
Denial Management: Investigate and resolve denied claims, resubmitting as necessary to secure payment.
Patient Billing: Send out statements to patients, handle inquiries, and establish payment plans as required.
Reporting: Generate regular reports on accounts receivable, aging balances, and collections to provide insight into financial performance.
Compliance: Adhere to HIPAA regulations and maintain the confidentiality of patient information and billing records.
Communication: Collaborate with healthcare providers, insurance representatives, and patients to clarify billing issues and improve claim outcomes.
Associates degree preferred; HS diploma or GED required
Proven experience (2+ years) as a medical billing specialist or in a similar role.
EMR experience required, MEDENT preferred
Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands:
Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff
Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
