Position Summary
We are seeking a dedicated Medical Billing Specialist to join our accounting team. In this role, you will report to the Accounting Manager and be responsible for managing the billing processes, submitting claims to insurance companies, and following up on outstanding invoices to ensure prompt payment. Collaboration with healthcare providers, patients, and insurance companies is essential to ensure all billing-related activities are completed accurately and efficiently.
Key Responsibilities
- Prepare, review, and submit medical claims to insurance companies, Medicare, Medicaid, and other third-party payers.
- Ensure all claims are accurate and compliant with industry standards and regulations.
- Generate and send invoices to clients for services rendered.
- Maintain detailed records of all billing transactions.
- Post payments received from insurance companies and clients.
- Reconcile payments and identify any discrepancies.
- Monitor unpaid claims and follow up with insurance companies or clients as necessary.
- Resolve any issues that may prevent timely payment, including claim denials or rejections.
- Ensure all billing activities comply with relevant laws, regulations, and policies, including HIPAA.
- Maintain patient confidentiality and protect sensitive information.
- Generate reports on billing activities, such as aging reports, revenue cycles, and collection rates.
- Provide insights and recommendations to improve billing efficiency and reduce claim denials.
Competencies
To excel in this position, you should demonstrate the following qualities:
- Achievement Focus: Persistently overcomes obstacles, sets and achieves challenging goals, and takes calculated risks.
- Business Ethics: Inspires trust, keeps commitments, and treats people with respect while upholding organizational values.
- Customer Focus: Develops new approaches to meet customer needs and monitors customer satisfaction, promoting high standards of service.
Qualifications
To be considered for this role, you should meet the following requirements:
- Education: High school diploma or equivalent; an associate's degree or certification in medical billing/coding is preferred.
- Experience: Previous experience in medical billing or a related field is preferred.
- Technical Skills: Proficiency in medical billing software and electronic health record (EHR) systems; strong computer skills, including Microsoft Office Suite (Word, Excel, Outlook).
- Communication Skills: Excellent verbal and written communication skills; ability to communicate effectively with patients, healthcare providers, and insurance companies.
- Analytical Skills: Strong attention to detail and accuracy; ability to analyze billing data and identify trends or issues.
- Problem-Solving: Ability to resolve billing issues and disputes; strong organizational and time-management skills.
Work Environment
The work environment is generally quiet, and we are committed to making reasonable accommodations to support individuals with disabilities.
Physical Demands
While performing the duties of this job, you will regularly be required to sit and frequently use your hands to handle or feel. You may occasionally need to stand, walk, and lift or move up to 10 pounds. Specific vision abilities required include close vision.
Employment Type: Full-Time