What are the responsibilities and job description for the Billing Specialist position at Covenant Physician Partners?
Teaneck Gastroenterology and Endoscopy Center, a Covenant Physician Partner, is looking for a Part-time Medical Billing Specialist to join our busy team.
About the Opportunity
This position is on-site and will work closely with the Center Manager and Revenue Cycle Analyst. This position will be responsible for all aspects of the Revenue Cycle, including but not limited to: insurance verifications, billing, insurance and patient collections, cash payment posting, patient services and coding.
Essential Duties and Responsibilities
- Research and resolve patient issues, respond to inquiries by center staff regarding patient account issues, and assist with weekly patient statements
- Conduct insurance verification and validation on scheduled patients to ensure eligibility and benefits are in order for accurate claim submission and payment
- Perform coding for professional services including evaluation and management, diagnostic and procedures
- Documents all coding, billing, and action(s) needed to successfully resolve claim issues with insurances
- Work with management in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise
- Review first initial claim scrub and billing to the clearinghouse utilizing billing and practice management software
- Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits
- Resolve disputed balances in our billing and practice management software
- Process credit card transactions
- Post payments and adjustments to the specified patient account in accordance with current policy and procedure
- Ensure accuracy of posting by balancing deposit totals to system generated report
- Properly close all assigned batches in a timely manner
- Maintain daily posting logs and reconciliation
- Work with management and other revenue cycle staff to improve processes to increase accuracy and efficiency
About the Candidate
- High School Diploma or general education degree (GED) is required.
- Minimum 2 years of experience in a medical office or healthcare business office; or equivalent combination of education and experience.
- 1 years in Healthcare Coding preferred. Coding experience with ASC Claims desired.
- Must have working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross-over into different payers
- Understanding of co-pay, coinsurance, and deductibles and intermediate to expert experience in electronic claim submission and edit resolutions, third party payer insurance verification, collections and denial resolution process.
What We Offer
- Invest in your future with a company match on your 401k
- Associate discounts at major retailers such as Amazon Prime and Costco, and Sam’s Club
- Free counseling sessions through our Employee Assistance Program
- Flexible Spending Account and Dependent Care Account Eligibility
- Voluntary plans include Critical Illness, Hospital Indemnity, and Accident Insurance
- Travel discounts with Hertz and Liberty Mutual
- Verizon Wireless Discounts
- Free legal assistance through RocketLawyer
- Pet Insurance
- Access to our free mental wellness program – Sibly
Covenant Physician Partners is proud to be an Equal Opportunity Employer. Covenant does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
