What are the responsibilities and job description for the Medical Billing Specialist position at DEFATTA ENT & FACIAL PLASTIC SURGERY SC?
Job Description
Job Description
Description : Job Overview
We are seeking a dedicated and detail-oriented Medical Billing Specialist to manage patient accounts, oversee billing functions, and handle communication with payers. This role plays a vital part in ensuring the accurate and timely resolution of claims, maintaining financial records, and facilitating the billing process, all while delivering exceptional service to our patients and insurance providers. This is a solo position within a specialized ENT clinic that also includes Audiology and an Allergy Clinic.
Primary Responsibilities
- Payment Posting : Accurately post daily payments to patient accounts, ensuring all transactions are correctly recorded.
- Claims Resolution : Take ownership of outstanding and unprocessed medical claims, including denied claims. Proactively resolve these issues by liaising with insurance companies to ensure proper payment is received.
- Insurance Correspondence : Effectively communicate with insurance providers to resolve issues, request reprocessing, and collect payments.
- Patient Financial Responsibility : Identify and communicate any patient out-of-pocket expenses, including co-pays, deductibles, and coinsurance.
- Billing and Collection Management : Oversee the entire billing and collection process, from generating statements to negotiating payment plans and ensuring accurate record-keeping of all activities.
- Quality Assurance : Ensure that all billing and collection tasks are completed in accordance with industry standards and regulatory guidelines, ensuring the financial health of the practice.
- Cross-Department Collaboration : Work closely with the Audiology and Allergy Clinic departments to ensure all charges and billing processes are accurately captured and processed, helping streamline operations across the clinic.
- Patient Support : Assist patients with billing-related inquiries, providing clear and concise information regarding their insurance coverage and payment responsibilities.
Requirements : Education
Job Requirements
Qualifications & Experience
Status : Full-time position
Employee Status : Regular
Hours per Week : 40 hours
Shift Hours : 8 : 00 AM – 4 : 30 PM, Monday through Friday
This role offers an exciting opportunity to make a significant impact in a smaller, specialized environment. As a key player in our ENT clinic, you will ensure seamless billing processes for our ENT, Audiology, and Allergy Clinic services. If you are a motivated, detail-oriented individual with a passion for healthcare and billing, we encourage you to apply and become part of our dynamic team!