Medical Biller - Ozark Total Healthcare : Job Details

DescriptionThe Medical Billing Specialist is responsible for collecting, posting, and managing patient account payments. Responsible for submitting patient claims to insurance companies and following up on the claims with insurance companies.Essential Duties and ResponsibilitiesThe essential functions include, but are not limited to the following:

• Preparing and submitting clean claims to various insurance companies either electronically or by paper
• Answering questions from patients, clerical staff, and insurance companies
• Identifying and resolving patient billing complaints
• Preparing, reviewing, and sending patient statements
• Evaluating patient's financial status and establishing budget payment plans; following and reporting status of delinquent accounts
• Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor; preparing information for the collection agency.
• Performing daily backups on office computer system
• Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third party payers
• Processing payments from insurance companies and preparing a daily deposit
• Participating in educational activities and attending monthly staff meetings
• Maintaining strictest confidentiality; adhering to all HIPAA guidelines and regulations
• Performing other work-related duties as assigned

• Obtain Authorization for new and existing services
• Run Eligibility checks and identify if prior authorization is required
• Ability to work as a team and pick up different job duties to secure the day-to-day flow of a busy office setting.

Requirements

• Driver's License (required)
• Must be able to pass background check
• High School or equivalent
• Excellent Communication Skills and Customer Service Oriented.
• Customer Focus, Dependability, Teamwork, Coordination, Organization, Time Management, Reporting Skills, Documentation Skills.