The billing specialist is responsible for obtaining and following up on payments from patients and insurances based on established contracts.
Responsibilities
- Review and process account adjustments and overpayment refunds in an efficient and timely manner
- Respond to detailed questions from patients and payers regarding claims or account status
- Reconcile detailed AR accounts
- Process claim appeals
- Identify coding and billing errors
- Monitor insurance claims
- Contact insurance companies on behalf of the practice
- Update patient account records to identify actions taken
- Assign bad debt accounts to the collection agency
- Monitor accounts receivable
- Maintain knowledge of all third-party and CMS reimbursement requirements
- Participate in a billing and collection-related meeting to discuss new and ongoing account resolution
- Set up payment plans on self-pay accounts.
- Reviews daily drug posting
- Corrects posting errors
- Follows Medical Record Release policy
- Adheres to OSHA, IPAA, and security protocols
- Supports RGF's Mission Statement
Required Skills
- Excellent communication skills
- Knowledge of billing procedures and collection techniques
- An excellent understanding of AR processes, third-party payers, and CMS regulations
- The ability to read and understand EOBs
- Experience using medical billing software
- Ability to prioritize tasks properly
- Excellent verbal and written communication skills
- Knowledge of Nextgen is a plus
- Ability to answer multi-line telephones
- Ability to prioritize tasks properly
- Ability to work both in a team environment and independently
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