Billing Specialist
Four Rivers Community Health Center, Rolla, MO, United States
Medical Billing Specialist
Position is responsible for preparing services rendered by medical, dental, and mobile clinics for billing multiple entities via electronic or paper claims. Reviews and resolves current electronic rejected/invalid submissions for correction. Post adjustment timely and accurately from insurance and self-pay. Submit all claims to appropriate secondary carrier.
Essential Job Responsibilities:
Prepares and submits clean claims to various insurance companies (both medical and dental) either electronically or by paper;
Answers questions from patients and insurance companies;
Helps prepare, review and send patient statements;
Follows and reports status of delinquent accounts;
Makes recommendations to A/R Specialist for delinquent accounts for write offs;
Performs various collection actions correcting and resubmitting claims to third party payers;
Investigates and corrects rejected claims as requested by A/R Specialist;
Helps with billing for Show Me Healthy Women/WISE programs;
Refer patients to A/R Specialist for payment plans;
Helps with Monthly reports;
Helps with training of front desk staff to reduce errors/denials;
Helps with Financial audit;
Helps with credentialing of providers;
Other duties as assigned;
Skills:
Excellent knowledge of medical/dental billing practices
Highly Organized
Responsible
Responds to customer service calls in a professional manner
Attention to detail
Ability to maintain strict confidentiality and adhere to all HIPAA guidelines
Knowledge of Microsoft Office Products
Position is responsible for preparing services rendered by medical, dental, and mobile clinics for billing multiple entities via electronic or paper claims. Reviews and resolves current electronic rejected/invalid submissions for correction. Post adjustment timely and accurately from insurance and self-pay. Submit all claims to appropriate secondary carrier.
Essential Job Responsibilities:
Prepares and submits clean claims to various insurance companies (both medical and dental) either electronically or by paper;
Answers questions from patients and insurance companies;
Helps prepare, review and send patient statements;
Follows and reports status of delinquent accounts;
Makes recommendations to A/R Specialist for delinquent accounts for write offs;
Performs various collection actions correcting and resubmitting claims to third party payers;
Investigates and corrects rejected claims as requested by A/R Specialist;
Helps with billing for Show Me Healthy Women/WISE programs;
Refer patients to A/R Specialist for payment plans;
Helps with Monthly reports;
Helps with training of front desk staff to reduce errors/denials;
Helps with Financial audit;
Helps with credentialing of providers;
Other duties as assigned;
Skills:
Excellent knowledge of medical/dental billing practices
Highly Organized
Responsible
Responds to customer service calls in a professional manner
Attention to detail
Ability to maintain strict confidentiality and adhere to all HIPAA guidelines
Knowledge of Microsoft Office Products