What are the responsibilities and job description for the Medical Billing/Collection Specialist position at Woodlawn Health?
Woodlawn is looking for a Medical Billing/Collection Specialist to join our Team!
Our Mission is to provide excellent healthcare services by highly skilled staff in a compassionate and caring manner. We know that our employees are essential to the care we provide!
Our Core Values are as follows: Courtesy, Respect, Caring, Professionalism, Confidentiality, Integrity, and Accountability.
EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS:
- Prior Hospital &/or Physician Billing/Collections experience is required as well as High school diploma/GED
- Good communication skills and pleasant phone technique as required while handling various telephone and in-person communication with patients, guests, and other medical providers in a professional manner.
- Must possess and demonstrate good customer service skills.
- The right candidate should have the ability to:
- Read, analyze, and interpret governmental regulations and documents such as safety rules, operating and maintenance instructions, and procedure manuals.
- Plan, organize, and prioritize work in a multi-task environment where interruptions may be frequent.
- Maintain strict confidentiality as defined by hospital policy.
- Adapt to variations in scheduling (including but not limited to overtime, work schedule changes or low census).
- Calculate figures and amounts such as discount interest, proportions percentages, and volume.
- Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
- Effectively present information in one-one and small group situations to patients, patients’ representatives, and other employees of the organization.
- Type, operate a computer, and a familiarity of medical terminology.
PRIMARY DUTIES:
- Verifies insurance and makes necessary corrections.
- Computes the patient’s total hospital bill showing the payments to be made by insurance and by the patient.
- Compares the UB and the 1500 forms for detailed billing accuracy.
- Analyses itemized hospital bill for the correctness and sends to patient when requested.
- Makes any necessary corrections on downloading lists.
- Reviews payment listings weekly and moves accounts as necessary.
- Responds to all patient requests & questions promptly & accordingly.
- Verifies patients’ insurance plans and makes necessary corrections.
- Telephones, writes, or sends a fax to insurance company to verify patient’s coverage and to obtain information concerning extent of benefits.
- Obtains pre-certification from Medicare and Medicaid as needed, as well as Medicaid numbers.
- Sorts and distributes incoming mail and prepares outgoing mail according to postal regulations as needed.
- Reviews and mails all bills including all group accounts.
- Analyzes all mail and then takes appropriate action.
- Checks cash receipts list, pulls zero balances and files.
- Reviews insurance reports, letters, and final notices, in order to check for accuracy.
- Reviews daily, weekly, and monthly computer-generated patient accounting reports and then takes appropriate action.
- Checks local paper for public notices of obituaries as well as estate filings. Contacts courthouse when necessary.
Full-time, day shift, no weekends, no holidays!
BENEFITS:
- Medical
- Dental
- Vision
- Life Insurance & Disability
- 403 (b) with company match
- Vacation Time
- Sick Time
- FSA
Job Type: Full-time
Benefits:
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
- No nights
- No weekends
Experience:
- Medical Billing/Collections: 2 years (Required)
Work Location: In person
