What are the responsibilities and job description for the Medical Biller/Collections Specialist position at Robert Half?
Job Description
Job Description
We are in search of a Medical Biller / Collections Specialist to join our team within the Healthcare / NHS industry based in Melbourne, Florida. As a Medical Biller / Collections Specialist, you will be tasked with handling insurance data from patients and physician practices, processing insurance claims, and executing all phases of insurance follow-up. This role offers a contract to permanent employment opportunity.
Responsibilities :
- Efficiently process patient insurance data for the creation of insurance claims
- Effectively utilize insurance websites to resolve outstanding insurance claims
- Handle insurance appeals following low payments or denials
- Manage the process of insurance follow-up to secure insurance payments
- Prioritize work on time-sensitive accounts
- Maintain strong phone communication skills for incoming / outgoing calls with patients, insurance companies, and customers concerning patient accounts
- Apply knowledge of CPT & diagnosis codes, LCD / NCD, and payer medical policy guidelines
- Investigate and address denial reasons through research for corrective measures
- Retrieve and re-file documents for audits or Insurance requests as needed
- Update incorrect patient addresses following research
- Compile information and create spreadsheets for attorney follow-up
- Perform other duties as assigned.
- Proficiency in Accounting Software Systems is mandatory, with a focus on healthcare billing and management systems.
- Familiarity with Accounts Receivable (AR) processes, including tracking and resolving outstanding payment issues.
- Capability to handle Appeals effectively, ensuring that all necessary documentation and information is available and accurate.
- Experience with managing Authorizations, including verification of patient insurance coverages and obtaining necessary approvals.
- Demonstrated competence in executing Billing Functions, including accurate coding, submission of claims, and follow-up on unpaid claims.
