POSITION SUMMARY:

The MEDICAL BILLING SPECIALIST performs clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted and patient billing; resubmit claims or corrects inaccuracies. May handle cash items and accounts receivable posting. Works with others in a team environment.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Psychiatry Office.Processes billing to patients and third-party insurance companies.
• Maintains supporting documentation files and current patient addresses.
• Researches and responds by telephone and/or in writing to patient inquiries regarding billing issues and problems.
• Monitors submitted claims, follows up on unpaid claims, and initiates dialogue with insurance companies.
• Resubmit claims to insurance companies as necessary.
• May receive and receive cash items and third-party reimbursements
• Posts and reconciles payments to patient ledgers.
• Balances daily batches and reports.
• Maintains patient demographic information and data collection systems.
• Identifies and resolves patient billing complaints
• Follows and reports the status of delinquent accounts.
• Performs various collection actions, including contacting patients by phone, and correcting and resubmitting claims to third-party payers.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Insurance Verification.
• Referrals

PREFERRED EXPERIENCE:

• Prior medical billing and administrative experience in a private medical office.
• Customer service