Medical Billing Representative is responsible for collecting, posting, and managing account payments. This position is also responsible for submitting claims and following-up with insurance companies. Candidate will be responsible for posting all insurance payments, patient's payments, refund, reconciliations, and patient's account support.
Job Functions and Duties:
- Accurately post charges, payments, and adjustments into the billing system, ensuring meticulous attention to detail
- Follow up on Accounts Receivable, actively communicating with insurance companies, patients, and healthcare providers to resolve outstanding claims and discrepancies
- Conduct thorough benefit checks, verifying insurance coverage and estimating patient financial responsibilities
- Assist with provider credentialing tasks, ensuring compliance with insurance requirements and maintaining necessary documentation
- Collaborate with the team to streamline billing processes and improve revenue cycle management efficiency
- Answers questions from patients, clerical staff, and insurance companies.
- Identifies and resolves patient billing complaints.
- Prepares, reviews, and sends patient statements.
- Evaluates patient’s financial status and established budget payment plans. Follows and reports status of delinquent accounts.
- Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor; also prepares information for the collection agency.
- Performs daily backups on office computer system.
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Attends weekly and monthly staff meetings.
- Maintains confidentiality and adheres to all HIPAA guidelines/regulations.
- Performs other duties and projects as assigned.
Qualifications:
Candidates must have a High School Diploma or GED with a minimum of two years of experience. Education or coursework in medical coding is desired.
Candidates must possess the following:
- Proficiency in billing software and electronic medical record (EMR) systems
- Strong knowledge of medical coding, insurance claim submission, reimbursement processes and third party operating procedures/practices is preferred
- Excellent communication skills, with the ability to effectively interact with insurance companies, patients, and healthcare providers
- Detail-oriented mindset with a focus on accuracy and problem-solving
- Prior experience in provider credentialing is a plus
- Knowledge of medical billing and collection practices
- Ability to operate multi-line telephone system.
- Professional attitude
- Ability to establish and maintain effective working relationships with patients and employees.
- Ability to operate basic computer systems.
- Collaborate MD experience Preferred
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Work setting:
- Remote
Location:
- New Jersey (Required)
Work Location: Remote
Application Deadline: 11/27/2021