Billing Specialist

Position Summary:

The Billing Specialist is responsible for managing the billing, collections and payment posting for our clinics. The position will follow-up with insurance companies and other stakeholders applying exceptional customer service to achieve positive results. The team member will utilize integrative negotiation skills with key stakeholders to include insurance companies and patients.

Key Responsibilities

• Comfortable handling billing, collections and payment posting and working with a team of authorizations specialists, Patient coordinators and doctors.
• Researching and contacting clients/patients to inform them about overdue bills and accounts

• Contacting insurance companies to determine the status of submitted claims and investigating reasons for claim denial
• Ensuring that all posted payments are reviewed for accuracy and comprehensiveness
• Negotiating for a reasonable payment plan, when patients are unable to pay medical bills due to their financial position
• Preparing and submitting billing data and medical claims to insurance organizations
• Settling financial discrepancies and monitoring missed payments
• Overseeing and maintaining billing software by updating cash spreadsheets, rate change, and current collection reports
• Maintaining quality results by strictly adhering to standards.
• Working A/R (Insurance/Patient)

Required Knowledge and Skills

• Excellent written and verbal communication skills, since a medical Billing Specialist is expected to interact with patients who owe debts, insurance companies, team members, and the medical organization’s management.
• Good endurance skill, which involves the ability to work efficiently and productively in a high-pressure environment
• Computer literacy skills, as he/she will be expected to use relevant computer billing software and must also be proficient in Microsoft Office. Experience with AdvancedMD, NextGen a plus.
• Strong customer service and interpersonal skills which enable a medical billing collector to answer any questions that patients or insurance companies may have.

Education/Licensure/Technical Requirements.

• Two years of proven medical billing experience
• High School diploma or GED
• Ability to meet U.S. employment and eligibility requirements