Job Description
We seek a vital Billing Specialist to join our clinical office team. You thrive in a fast-paced environment. In this position, you will follow up on aged accounts receivable to help ensure the continuity of cash flow and secure the resolution of account balances. You are knowledgeable about government, commercial, and managed care reimbursement guidelines. Your responsibilities may include reviewing potential patients' medical histories, verifying information provided by their referring physicians and insurance coverage, and monitoring the schedule for our add-on patients.
Responsibilities:
- Review the patient's medical history and insurance coverage for approval
- Contact referring physicians for additional information as needed
- Performs audits of patient accounts to ensure accuracy and timely payment.
- Evaluates patient accounts to determine appropriate responsibility.
- Contact patients regarding delinquent accounts and arrange mutually acceptable payment.
- Receives and resolves patient billing complaints and questions.
- Review credit balance reports for the correct recipient of the refund.
- Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.
- Identifies problems on accounts and follows through to the conclusion.
- Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
- Works with provided aging to monitor patient account aging and follow up appropriately.
- Update/research returned mail addresses.