Medical Billing Services Specialist - Accounts Receivable & Customer Support

Description

Join our team as a Medical Billing Services Specialist and play a vital role in ensuring smooth revenue cycle management by overseeing the collection of accounts for our services. You will assist with reimbursement processes from insurance payers and private pay customers, all while supporting our commitment to excellent service.

Key Responsibilities

• Answer incoming calls from customers regarding patient accounts, including inquiries related to statements, billing, claims, and denials.
• Investigate and resolve escalated customer billing inquiries efficiently.
• Collaborate with customers and internal teams to research, correct, and prevent invoice discrepancies.
• Direct pending insurance and claims processing matters to the appropriate personnel for follow-up.
• Communicate coverage benefits and customer responsibilities regarding medical insurance, including in-network and out-of-network details.
• Address questions about processing medical claims, including denials from insurance companies.
• Resolve billing complaints by managing activities within the billing cycle, including adjustments and small balance reviews.
• Prepare and send correspondence to customers regarding invoices and payment history as needed.
• Work with internal staff to resolve account holds due to bad debt.
• Contact customers with delinquent accounts through various methods to solicit payment.
• Process private pay charges for outstanding balances through checks and credit card payments.
• Establish repayment plans based on customers' financial situations and assist them in managing their accounts.
• Conduct detailed reconciliations to resolve complex disputed receivable issues.
• Collect on accounts through multiple communication channels, maintaining compliance with company policies.
• Respond to collection agency inquiries regarding patient disputes.
• Ensure accurate payment is received for all goods and services according to contracted rates.
• Reconcile accounts receivable to confirm all payments are accounted for and properly posted.
• Monitor the system dashboard for patient collections and create daily reports on collection activities.
• Follow up on patient collection reports to ensure timely action.
• Accurately enter data into the database, including payer information and authorization requirements.
• Manage daily claims submissions for eligible and ready claims.
• Monitor patient accounts for non-payments and delays, addressing any irregularities.
• Analyze billing documentation to ensure compliance with payer requirements.
• Perform thorough account audits to ensure accurate billing for services rendered.
• Ensure proper revenue recognition for billed charges and services.
  
  

Basic Qualifications

• High School Diploma or G.E.D.
• Minimum of 1 year of experience in healthcare administration, financial services, insurance customer service, claims, billing, or call center operations.
  
  

Preferred Qualifications

• Education: Associate's Degree
• Experience: 2+ years of credit and collection experience in durable medical equipment (DME).
  
  

Skills And Abilities

• Strong decision-making and problem-solving skills with keen attention to detail.
• Excellent verbal and written communication skills.
• Outstanding customer service skills with the ability to manage multiple tasks effectively.
• Familiarity with medical terminology related to billing, office practices, and basic math.
• Knowledge of collection laws, regulations, and techniques.
  
  

What We Offer

Be part of a dynamic and supportive work environment where collaboration and growth are encouraged. We provide ample opportunities for learning and development, along with a competitive salary and benefits package.

Additional Benefits

• Flexible work schedules with summer hours
• Market-aligned pay
• 401k with dollar-for-dollar matching up to 6% and immediate vesting
• Comprehensive benefit plans
• Flexible Spending Account (FSA)
• Health Savings Account (HSA) with employer contributions
• Life Insurance and Short-term/Long-term Disability
• Paid Paternity Leave
• Employee Assistance Program
• Wellness Resources
• Training and Development
• Tuition Reimbursement
  
  

Employment Type: Full-Time