Position Summary:
Under the supervision of the Business Office Supervisor and Practice Manager, responsible for handling portions of professional billing, payment posting, research and follow up of unpaid claims including refunds. Promotes a favorable image of the practice to physicians, patients, insurance companies, and the general public.
Teamwork is Priority, you must:
· Work well with others
· Follow the Chain of Command
· Participate in staff meetings and all coding/billing related educational activities
Duties and Responsibilities
· Identifies and reports correct code selection from physician documentation, including, but not be limited to; chart notes, abstracting from medical records documentation and ensures compliant coding.
· Ability to accurately add specific data elements to claims such as modifiers, payer-specific information, including authorization criteria, CPT, and ICD-10 codes.
· Research and verify accuracy of billing data and revise any errors including adjustments and denials.
· Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry.
· Reduce denials by the correct use of modifiers and linking diagnosis codes with services.
· Knowledge of in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization.
· Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, operative reports, etc. to ensure proper coding
· Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
· Manage the status of accounts and identify reimbursement trends
· Maintain Appeal/denials. Ensure timely completion of appeals.
· Responsible for the processing and discrepancy reconciliation of charge/payment batches
· Ability to successfully track and follow up on information requests.
· Work as part of our team to facilitate information and resolve charge/payment questions.
· Exhibit exceptional customer service skills; answering internal and external calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
· Proactive resolution of issues and timely response to questions and concerns.
· Increase revenue by collecting payments on outstanding accounts
· Contact patients regarding outstanding balances
· Establish payment plans to help patients manage payment of bills
· Send delinquent accounts to collections agency
· Create and mail patient collection letters
· Respond to billing questions from patients and staff
· Patient and Insurance Refunds
· Balances and reconciles month end reports
· Cross training in other Business Office areas
· Attends and participates in all coding/billing related educational activities as assigned
· Regular and predictable attendance
· Performs other duties as assigned
Skills needed:
· Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Uses reason even when dealing with emotional topics
· Customer Service- Manages difficult or emotional patient situations
· Interpersonal Skills - Focuses on solving conflict, not blame shifting; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ ideas and tries new things
· Oral Communication - Speaks clearly and persuasively in positive or negative situations; Responds well to questions; Participates in meetings
· Written Communication - Writes clearly and informatively; Able to read and interpret written information accurately
· Strong organizational skills
· Proficient in Microsoft Office; emphasis on Excel; 10 Key and strong math skills.
· Ability in work in a high-volume environment
Qualifications:
· High School Diploma or GED
· Minimum two (2) years of experience in a medical billing office
· Gastroenterology experience helpful / not required
· Ability to speak and understand the English language
· Strong ethical and moral character references
· Must pass background check and urine drug screen
· Must be authorized to work in the United States
General Skills:
· Strong experience with 10-key, MS Office (Word, Excel)
· Types a minimum of 40 wpm
· Strong knowledge of Microsoft Excel and Outlook
· Strong organizational skills
Job Type: Full-time
Pay: From $15.50 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Work Location: In person
Salary.com Estimation for Business Office Specialist / Medical Billing in Bryan, TX
$33,402 - $41,095
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