Pafford Medical Services
Billing & Collections Specialist
Pafford Medical Services, Hope, Arkansas, United States, 71801
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Billing & Collections Specialist
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Billing & Collections Specialist
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Pafford Medical Services Get AI-powered advice on this job and more exclusive features. Essential Duties And Responsibilities
Obtain referrals and pre/post-authorizations for ambulance services Essential Duties And Responsibilities
Obtain referrals and pre/post-authorizations for ambulance services
Check eligibility and benefits verification
Review insurance and facility claims for accuracy and completeness
Prepare, review, and transmit claims using billing software, clearinghouse, and payer websites
Following up on unpaid claims within standard billing cycle timeframe
Reviewing underpaid claims for appropriate escalation steps to ensure appropriate reimbursement for services
Calling insurance companies regarding any payment discrepancies
Identifying and billing secondary or tertiary insurance
Processing incoming mail and taking appropriate follow up actions to resolve accounts
Researching and appealing denied claims
Answering all patient or insurance telephone inquiries
Contacting the patient to escalate issues with the insurance companies
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Performing other duties as assigned.
Qualifications
Proficient with a PC
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and commercial payers
Customer service skills for interacting with patients regarding medical claims and payments, including
communicating with patients and family members of diverse ages and backgrounds.
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
Ability to work independently and with a group
Working knowledge of MS Word, Excel
Ability to maintain effective working relationships.
Thorough knowledge of office practices
Ability to type at least 35 words per minute.
Proficiency using 10 key
Education And Experience Requirements
High School Diploma or GED
Minimum of one year revenue cycle management experience or related experience
Physical Requirements
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
Must be able to talk, listen and speak clearly on telephone.
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
Travel Time : Negligible
NOTE:
The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Medical Practices Referrals increase your chances of interviewing at Pafford Medical Services by 2x Get notified about new Billing Specialist jobs in
Hope, AR . We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Billing & Collections Specialist
role at
Pafford Medical Services 4 days ago Be among the first 25 applicants Join to apply for the
Billing & Collections Specialist
role at
Pafford Medical Services Get AI-powered advice on this job and more exclusive features. Essential Duties And Responsibilities
Obtain referrals and pre/post-authorizations for ambulance services Essential Duties And Responsibilities
Obtain referrals and pre/post-authorizations for ambulance services
Check eligibility and benefits verification
Review insurance and facility claims for accuracy and completeness
Prepare, review, and transmit claims using billing software, clearinghouse, and payer websites
Following up on unpaid claims within standard billing cycle timeframe
Reviewing underpaid claims for appropriate escalation steps to ensure appropriate reimbursement for services
Calling insurance companies regarding any payment discrepancies
Identifying and billing secondary or tertiary insurance
Processing incoming mail and taking appropriate follow up actions to resolve accounts
Researching and appealing denied claims
Answering all patient or insurance telephone inquiries
Contacting the patient to escalate issues with the insurance companies
Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Performing other duties as assigned.
Qualifications
Proficient with a PC
Knowledge of Health Insurance Portability and Accountability Act (HIPAA)
Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes)
Knowledge of medical terminology
Knowledge of Medical Billing
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and commercial payers
Customer service skills for interacting with patients regarding medical claims and payments, including
communicating with patients and family members of diverse ages and backgrounds.
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
Ability to work independently and with a group
Working knowledge of MS Word, Excel
Ability to maintain effective working relationships.
Thorough knowledge of office practices
Ability to type at least 35 words per minute.
Proficiency using 10 key
Education And Experience Requirements
High School Diploma or GED
Minimum of one year revenue cycle management experience or related experience
Physical Requirements
Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other
federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local
standards.
The employee may occasionally be required to lift and/or move up to 20 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision,
depth perception, and the ability to adjust focus.
Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and
other physical exertion.
Must be able to talk, listen and speak clearly on telephone.
Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a
motor vehicle.
Travel Time : Negligible
NOTE:
The above statements are intended to describe the general nature and level of work being performed by the
person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and
physical demands required of personnel so classified. Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Medical Practices Referrals increase your chances of interviewing at Pafford Medical Services by 2x Get notified about new Billing Specialist jobs in
Hope, AR . We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr