Phoenix VS LLC looking for Medical Billing and collection specialist who works well independently, and also supports their co-workers in running a successful insurance billing department. The Medical Billing and Collection Specialist is responsible for a broad range of billing functions by providing operational support through the full billing cycle: duties include collections, payment posting, billing, claim submissions, medical insurance communications, and other billing matter. In this role, the Specialist is responsible to work, research, and resolve front end errors. The mission of the Specialist is to provide excellent customer service and performs a wide variety of complex billing and collection duties.
KEY JOB ELEMENTS:
⦁ Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
⦁ Obtain referrals and pre-authorizations as required for procedures.
⦁ Confirm patient demographic, insurance and referring physician information is accurately entered into system.
⦁ Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
⦁ Confirming provider credentials with insurance companies and hospitals.
⦁ Reviewing patient bills for accuracy and completeness and obtaining any missing information.
⦁ Following up on unpaid claims within standard billing cycle timeframe.
⦁ Checking each insurance payment for accuracy and compliance with contract discount.
⦁ Calling insurance companies regarding any discrepancy in payments if necessary.
⦁ Identifying and billing secondary or tertiary insurances.
⦁ Researching and appealing denied claims.
⦁ Setting up patient payment plans and work collection accounts.
⦁ Updating cash spreadsheets and running collection reports.
⦁ Preparing forms, forms letters, reports, and correspondence for collection purposes.
⦁ Coaching new staff to learn office procedures.
⦁ Acquiring knowledge of medical terminology likely to be encountered in medical claims.
⦁ Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPPA).
⦁ Performing other related duties or special projects as assigned.
SKILLS & ABILITIES:
⦁ Handles multiple tasks simultaneously.
⦁ Communicates effectively with all levels of staff.
⦁ Maintains composure while working under high pressure.
⦁ Demonstrates strong interpersonal skills that foster a positive environment.
⦁ Demonstrates flexibility and ability to adapt to change.
⦁ Excellent communication, time management, and computer skills.
⦁ Must be accurate with attention to detail.
⦁ Customer service skills for interacting with medical billing clients and office patients regarding medical claims and payments.
⦁ Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
⦁ Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients, insurers, or co-workers during this process.
Contract length: 6 months
Job Types: Full-time, Contract
Salary: $20.00 – $23.00 per hour
None. Remote Work