Medical Billing Specialist

The Billing Specialist is responsible for collecting, posting and managing account payments, and for submitting claims and following up with insurance companies. ​  

 Responsibilities:

• Process claims for products and services to patients Vision Plans and/or Medical Plans as applicable.
• Routine communications with insurance providers to ensure accurate and timely reimbursements EOB postings.
• Maintain AR collections within 45 days posting.
• Verify patient data for accurate billing.
• Process monthly patient statements.
• Backup to incoming calls and scheduling.
• Maximize insurance reimbursements through routine billing audits.
• Resolve patient billing inquiries and/or complaints.
• Processes delinquent accounts for collections.
• Ensures practice awareness of changes in Insurance procedures/policies.
• Maintains insurance credentialing.
• Maintains HIPPA compliancy.
• Secures all patient insurance authorizations prior to service.
• Process corrected claims as applicable.

Requirements:

• Extremely detail oriented.
• Motivated, goal oriented, and persistent.
• High level of initiative and works well in a team environment.
• Excellent written and oral communication skills.
• Plans and carries out responsibilities with minimal supervision.
• High School diploma.
• Knowledge of medical billing/collection practices.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Knowledge of business office procedures.
• Ability to operate a computer and basic office equipment. 

Preferred:

• Experience interacting with customers or patients as well as administrative and office experience.
• Experience with Microsoft Office Suite software programs and other clinic-specific software.