Medical Billing-Patient Collections Claims Specialist

Healthcare South is seeking a full-time Medical Billing/Patient Collections Specialist to join our team in the Corporate Office.

Summary of Position

Duties may require working insurance carrier review reports, identifying problems or issues with outstanding claims and correcting these errors in a timely manner. Maintain knowledge of all contracted carriers and their requirements for claim submission and claim appeals. Responsible for collection of delinquent patient accounts. Knowledge of CPT and ICD-10 coding required. Perform other diverse duties as requested or required by the immediate supervisor and/or CEO.

Essential Job Responsibilities

1. Maintain aging and unpaid claims reports.

2. Contact carrier representative as needed.

3. Timely follow-up on claims.

4. Investigate and resolve patient/insurance company inquiries concerning services, billing, or fees/charges. Examine pertinent information to determine accuracy of complaints and responsibility for errors. Notify patient/insurance company and appropriate personnel of findings, adjustments, and recommendations.

5. Post insurance payments accurately to patient accounts, date of service, charge and fee schedule and carrier.

6. Balance at end of day by checking operator report to Explanation of Benefits and/or checks.

7. Record accurately on monthly log and make out bank deposit slips when necessary.

8. Pull off EFT information from insurance carrier from corresponding carriers, record on monthly log when deposited and posted.

9. Attend insurance/collection seminars when necessary.

10. Identifies delinquent accounts, aging period, and payment sources. Processes delinquent unpaid accounts by contacting patients and third-party payers.

11. Reviews accounts, credit reports, and other information sources via computer.

12. Performs various collection actions including contacting patients by phone and resubmitting claims to third-party payers.

13. Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.

14. Reviews accounts for possible assignment; makes recommendations to credit manager and prepares information for collection agency.

15. Assigns uncollectible accounts to collection agency or attorney via clinic credit and collection policy.

Education and Training

• High school graduate and/or college graduate required
• Completion of a medical billing/coding certification program preferred.

Experience

• 2-5 years’ experience in medical billing/charge entry/medical claims review in a hospital, office or clinic setting.
• Experience with data entry. Prefer applicant with prior medical insurance related experience including CPT/ICD 10 coding.

Performance Requirements:

Knowledge:

1. Knowledge of billing practices and office policies and procedures.

2. Knowledge of techniques for processing insurance claims.

3. CPT and ICD-10 current codes.

4. Knowledge of Microsoft word programs and basic Excel formats.

Skills:

1. Must be able to operate office equipment; computer, fax machine, copy machine, printers, telephones, and calculators.

2. Typing speed of 35 wpm with 98 percent accuracy.

Abilities:

1. Ability to followwritten instructions.

2. Ability to organize workload to determine priority of duties.

3. Ability to examine reports and insurance documents for accuracy.

4. Ability to communicate effectively and work with others.

5. Ability to work in an office with stress factors of telephone calls, noise generated by computer printers and occasional talking.

Work Environment

Full time M-F (8:30-4:30 or 9-5) position is in a well-lighted office environment, possibility of partial remote work once appropriately trained. Occasional evening and weekend work.

Job Type: Full-time

Pay: From $24.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: In person

Salary : $24