Medical Office Billing Specialist

Summary of Position: Under the supervision of the PFS Manager, esponsible for follow-up of accounts for all payers, as well as, complete resolution of claims denials.

Duties and Job Responsibilities:

· Responsible to complete Daily Variance report including denials, offsets and credits on patient accounts

· Responsible for AR follow-up on accounts for all payers, as well as, complete resolution of claims denials

· Responsible for handling all mail correspondence related to an insurance or patient account

· Contacting insurance carriers and patients to identify issues or apply changes as needed to receive payment on patient accounts

· Gather and compile information necessary to perform appeals on denied claims

· Assist with coding and error resolution in regards to claim denials

· Reconciling edits and rejection reports from Self-Pay Vendor

· Field billing questions from patients, attorneys, insurance carriers, nurse case managers and OAM personnel

· Communicate and interact effectively with patients, families, physicians, peers and other team members to maximize successful patient outcomes

· Research and resolve accounts appearing on accounts receivable reports, collection ledgers and payer reports as directed by management

· Back-up other members of the billing department as needed

· Maintain the confidentiality of patient and staff related information

· Effectively prioritize and complete all assigned tasks

· Other duties as assigned

Qualifications, Credentials and Skills:

· Must be multi-disciplined in billing, collections, denials, credit balances and the various payers.

· Strong organizational skills.

· Verbal and written skills necessary to communicate clearly and professionally with coworkers, patients, insurance companies and physician office personnel.

· Project and maintain a positive image in telephone interactions with patients, insurance companies, and coworkers and maintain an appearance of composure under stressful situations.

· Basic computer, calculator, fax, copier skills.

Other Qualifications:

· Ability to work as a team member of various work groups and multi-disciplinary problem solving teams.

· Ability to hear and communicate via telephone with patients and staff.

· Ability to exercise good judgment, work independently without close supervision and respond to concerns of others with tact.

· Ability to organize and prioritize duties, shifting suddenly to new tasks as priorities change, adjusting work schedule to reflect changing situations and requirements.

· Ability to concentrate in a busy work area.

Foundational Values:

· Observe and comply with OAM Core Values.

· Provide professional and friendly atmosphere.

· Provide excellent customer service.

· Introduce self when greeting patients and visitors in person or via telephone.

· Follow appropriate chain of command for reporting issues such as grievances, patient complaints and staffing issues.

· Use time effectively.

· Treat all people fairly regardless of age, race, sex, disability, religion, etc.

Physical Requirements: The employee is regularly required to sit for extended periods of time; walk; and stoop, kneel, and talk and hear. The employee must occasionally lift and/or move up to 40 pounds, as well as pull boxes of up to 40 pounds from overhead shelving units, i.e. – lift and remove or place banker boxes on shelves of varying heights. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.

Job Type: Full-time

Pay: $15.00 - $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location: In person

Salary : $15 - $20