Job Description

Looking for an enthusiastic, dedicated, all-around Medical Billing Professional.

Duties can include but not be limited to: entering and / or coding patient medical claims into a billing system to generate claims to be billed to insurance and patients, collecting, posting and managing account payments from patients, insurers, and third parties, submitting claims to third-party payers, and following up with insurance companies and patients.

PRIMARY RESPONSIBILITIES:

·· Processes and applies payments from insurance companies and patients to correct account and date of service.

· Balances payments entered in system against total received for every batch.

· Coordinates reimbursement activities between responsible parties.

• Identifies and researches overpayments to process refunds.

· Reviews accounts to make sure correct and complete reimbursement has been received for each claim.

· Performs collections actions to obtain correct and complete reimbursement for each claim, including, but not limited to online claims follow up, contacting payers and/ or patients by phone, appealing claim denials, resubmitting claims with corrected information, obtaining corrected information from client when not available.

· Answers phone questions from patients, clients, insurance companies, and other sources.

· Prepares, reviews and sends patient statements.

· Identifies and resolves patient billing complaints.

· Reviews accounts for possible assignment to collections and makes recommendations to management; also prepares information for collection agency.

· Participates in educational activities as requested.

· Attends staff meetings as scheduled.

· Maintains strictest confidentiality; follows all HIPAA regulations and guidelines.

· Other duties as assigned.

REQUIRED SKILLS/ EXPERIENCE

· Knowledge of medical billing and collection practices.

· Knowledge of computer programs.

· Knowledge of business office procedures.

· Knowledge of basic medical coding and third-party operating procedures and practices.

· Ability to operate a computer and basic office equipment.

· Ability to operate a multi-line telephone system

· Skill in answering a telephone in a pleasant and helpful manner.

· Ability to read, understand, and follow oral and written instructions.

· Ability to establish and maintain effective working relationships with patients, employees, clients and other individuals as required.

· Ability to communicate effectively in writing and speech.

· Must be well-organized and detail-oriented.

Company Description

Physician Billing Specialists has been providing excellence in medical billing to our Part B provider clients since 2000. We are a growing company, but small enough to customize our services to best meet our clients' needs.