The Billing Specialist works as a financial counselor and supports patients with the financial responsibilities related to their care. This includes assessing a patient's ability to pay, answering insurance and benefit questions, explaining financial liability, taking credit card information for payment, setting up payment arrangements, and resolving questions about billing.
Billing responsibilities
- Create and submit claims
- Post payments
- Appeal denied claims
- Research denied claims and correct them for refiling
- Create estimates for patient payment plans
- Create and send statements
- Review statement reports for address errors
- Review self-pay, pre-collection, and collection accounts
- Confirm and collect deductibles for surgery, office procedures, and balloons
- Accept payments over the telephone
- Release accounts from collection status once balances are paid
- Attend webinars for insurance updates
- Identify billing trends and issues and escalate to a supervisor when needed
- Answer calls from patients, insurance companies, and other staff
- Perform other duties as assigned
Requirements & Qualifications
Qualifications and skills
- High school diploma or equivalent required; advanced education in medical billing preferred
- Previous experience in accounts receivable, billing, and collections in a healthcare setting
- Experience with insurance billing
- Ability to analyze account cost and reimbursement
- Knowledge of medical terminology, including CPT and ICD-10 coding preferred
- Familiarity with modern office procedures, office equipment, and medical terminology
- Proficiency with computers, electronic health records, and data entry
Position requirements
- Minimum 3 years of experience in a physician's office performing patient billing and collections
- Previous computer skills in a physician practice management system and/or Windows applications
- Ability to analyze and review insurance and patient claims
- Ability to multitask using EMR systems and insurance websites
- Knowledge of CPT-4 procedure coding, ICD-10 diagnostic coding, and HCPCS coding preferred
- Thorough understanding of billing requirements for governmental and private payers
- Strong oral and written communication skills
- Ability to deal tactfully with patients, physicians, and other employees
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
4 months ago