What are the responsibilities and job description for the Medical Billing Specialist position at HireTalent?
Responsibilities : This position is responsible for, but not limited to, the following : . Assures that all phases of processing client information are in compliance with HIPAA, PHI regulatory and related policies and practices; reports any Compliance issues to the Director of Operations. . Coordinates the insurance verification process and makes sure that the client understands their co-pay responsibility. Responsible to follow-up as necessary to facilitate the collection of co-pays. . When applicable may gather credit card or other payment processing information from client and enters into system to process payment for account. . Manages the entry of client information into computer system in a timely manner and contact of referral source, customer and / or client to obtain missing information needed to set up client for service. Ensures that the data is accurate and complete. . Confirms all sales orders in the system and ensures that all required information ( proof of delivery, signed prescription, signed acknowledgement form, etc.) is on file before submitting claim for payment. . Follows up on all missing sales orders and reconciles billing questions on a regular basis until payment status is complete. . Responsible for the timely submission of claims (electronic and paper as needed) to payers; Corrects and resubmits front-end and back-end rejected claims. . Ensures that all cash is posted to the correct account in a timely manner. . Responsible for the timely follow-up and collection of payments due to the organization. This is accomplished by generating invoices and / or following up with clients and / or payers. . Uses available resources to maintain current regulatory guidelines and reimbursement information to insure that the company is obtaining all appropriate information as required for billing and reimbursement. . Performs other duties / projects as assigned by management including customer service support : processing, resolving and logging customer inquiries.
