Description
We are seeking a dedicated Medical Billing Specialist to join our dynamic accounting team in Ontario. In this role, you will report to the Accounting Manager and manage billing processes, submit claims to insurance providers, and follow up on outstanding invoices to ensure timely payments. Collaboration with healthcare providers, patients, and insurance companies is essential to guarantee that all billing activities are handled accurately and efficiently.
Essential Duties And Responsibilities
To be successful in this position, you will need to perform the following tasks effectively (additional duties may be assigned):
- Claims Preparation and Submission:
- Prepare, review, and submit medical claims to insurance companies, Medicare, Medicaid, and other third-party payers.
- Ensure all claims are accurate and comply with industry standards and regulations.
- Billing and Invoicing:
- Generate and send invoices to clients for services rendered.
- Maintain detailed records of all billing transactions.
- Payment Posting:
- Post payments received from insurance companies and clients.
- Reconcile payments and identify any discrepancies.
- Follow-Up on Unpaid Claims:
- Monitor unpaid claims and follow up with insurance companies or clients as needed.
- Resolve any issues that may hinder timely payment, such as claim denials or rejections.
- Compliance and Confidentiality:
- Ensure all billing activities comply with relevant laws, regulations, and policies, including HIPAA.
- Maintain patient confidentiality and protect sensitive information.
- Reporting:
- Generate reports on billing activities, including aging reports, revenue cycles, and collection rates.
- Provide insights and recommendations to enhance billing efficiency and reduce claim denials.
Competencies
To excel in this role, you should demonstrate the following qualities:
- Achievement Focus:
- Display persistence in overcoming obstacles.
- Recognize and act on opportunities, setting and achieving challenging goals.
- Business Ethics:
- Inspire trust and treat others with respect.
- Uphold organizational values and act with integrity.
- Customer Focus:
- Develop innovative approaches to meet customer needs.
- Promote a culture of customer service excellence.
Qualifications
To perform this job successfully, 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 skills in Microsoft Office Suite (Word, Excel, Outlook).
- Communication Skills:
- Excellent verbal and written communication skills.
- Ability to effectively communicate 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 Skills:
- Capable of resolving billing issues and disputes.
- Strong organizational and time-management skills.
Work Environment
The work environment is generally quiet and conducive to focused work. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Physical Demands
While performing the duties of this job, you will regularly need to sit and frequently use your hands for tasks such as typing. You may occasionally need to stand, walk, and lift or move items up to 10 pounds. Specific vision abilities required for this role include close vision.
This job description is not an exhaustive list of duties and responsibilities. You may be asked to follow additional instructions and perform other related tasks as assigned by your supervisor.
Employment Type: Full-Time