Billing & Patient Account Specialists

Billing & Patient Account Specialists needed for busy multi-specialty practice in Myrtle Beach. Must have excellent computer skills. Half days on Fridays and no weekends! Remote work available once trained.

General Summary Of Duties

SUPERVISION RECEIVED: Business Office Manager - Gail Smith

SUPERVISION EXERCISED: None

Works within the billing office completing various tasks related to insurance claims, insurance processing, and handle patient account including bankruptcies and collections. Assists patients and staff with questions and issues related to claims, insurance, and patient accounts. Knowledge of insurance payers, third party payers, collection practices and regulations, and bankruptcy procedures,

TYPICAL WORKING CONDITIONS: Normal office environment.

EXAMPLES OF DUTIES: This list of duties is a general list. Responsibilities within this job description include but are not limited to as follows:

• Responsible for all CHS laboratory claims to include but not limited to the interface, proper diagnosis/CPT coding, all lab missing slips
• Communicate with providers/clinical staff regarding supporting medical necessity ordering and required medical documentation to support charges related to claims.
• Research and appeal lab claim denials accordingly and correct daily lab claim rejections
• Resolve billing issues with outside parties (i.e. payers, reference labs, collections agencies)
• Answers and handles patient and outpatient office staff billing, insurance, and collection questions.
• Acts as a liaison with collection agencies to assign accounts, handle questions, problems, and patient disputes.
• Identifies and works delinquent and collection accounts and balances, researches these accounts when appropriate.
• Post payments (including credit card), refunds and deposits
• Set up payment plans
• Create/post/reconcile batches as needed, including monthly collection agency reports
• Update patient billing, demographic and insurance information and work with insurance coordinators to submit claims to corrected or new patient insurance.
• Process deceased, bankruptcy, returned checks and patient assistance payments.
• Responsible for quarterly reconciliation and reporting unclaimed property.
• Educate patients/outpatient office staff regarding explanation of insurance benefits, bills, and payer plan benefits.
• Researches and issues monthly patient and insurance refunds.
  
  

Job Requirements

KNOWLEGDE AND SKILLS:

• Knowledge of coding and billing practices and procedures
• Knowledge of insurance/third party payers, policies, and procedures
• Knowledge of collections and bankruptcy procedures
• Knowledge of HIPAA policies, guidelines, and procedures
• Able to review payment postings and calculate accurate balances.
• Ability to use a computer and calculator (specifically Microsoft Excel and Word programs)
• Ability to examine documents for accuracy and completeness.
• Ability to communicate clearly and professionally with staff and patients.
  
  

EDUCATION: High school diploma or GED

EXPERIENCE: Two years of experience in medical office billing including collections, third party insurance, and coding or comparable education and/or experience as determined by management.

CERTIFICATE/LICENSE: CPC-A or CPC certification is preferred but not required.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as need evolves.