Medical Billing Specialist

Job Title:

Medical Billing Specialist

Location:

This position can be filled in Willow Street, Lancaster, or Lebanon.

Summary/Objective:

The Medical Billing Specialist is in charge of facilitating the collection of monies due to Orthopedic Associates of Lancaster, Ltd. from patients and insurance companies. Also responsible for helping support staff identify participating insurance carriers and assisting support staff with the interpretation of patient insurances.

Primary Responsibilities:

• Contact insurance carriers daily to collect past due amounts on outstanding medical accounts. Follow up in a timely fashion.
• Maintain an accurate and up-to-date aging report of assigned accounts to include AR analysis and follow-up.
• Keep educated and updated on billing and medical policies for payers.
• Keep educated and updates on billing and medical policies for payers including: Medicare/Medicaid, Blue Cross Blue Shield, Aetna, UHC, and other commercial payers.
• Handles all denials processed by Medical Payment Poster using all available software and payer portals: Navinet, Availity, etc.
• Handles all follow up as it pertains to outstanding medical accounts for the medical practice.
• Maintain and reconcile customer accounts with adjustments as identified.
• Process credit card transactions as needed.
• Respond to patient inquires received in the accounts receivable email as well as via telephone regarding account issues preventing payment.
• Work closely with Accounts Receivable teamto collect charges billed by OAL.
• Maintain an accurate and up-to-date aging report of assigned accounts to include AR analysis and follow-up.
• Process any changes received regarding new insurance changes on patients and resubmit claims as necessary.
• Monitors daily submission in Clearing House platform for the purpose of correcting and resubmitting claims to avoid unnecessary delays.
• Responsible to print, copy and scan of medical records requested by insurance carriers for the purpose of appealing and adjudicating outstanding claims.
• Retain accurate documentation on all communications received from payers in conventions provider by RCM.
• Attends weekly meetings to review production and resolve old accounts.
• Other duties as assigned.

Required Qualifications:

• High School Diploma or GED is required.
• A minimum of one (1) year of accounts receivable and collections experience is required.

Preferred Qualifications:

• Current or prior EPIC experience is a plus.
• Prior experience in Medical Accounts Receivable.
• Strong interpersonal skills.
• Ability to think critically and build positive relationships with customers.
• Ability to work independently as well as within a team Proficiency with MS Excel.
• Able to work accurately at a fast pace.

EEO Statement:
OAL and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. OAL and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law.

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