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Why You'll Love This Job

The Billing Specialist, is responsible for overseeing the billing process for patients. Their duties include processing payments on behalf of a customer or patient, maintaining organized financial records to aide reporting and calculating bill totals by looking through previous financial statements.

Major duties and responsibilities:

  • Processing patient payments and refunds.
  • Recognizing patient underpayments or overpayments and rectifying them accordingly for refunds 
  • Creating suitable payment plans for patients based on the practice policy
  • Communicating with the insurance company to determine if charges were processed correctly
  • Answering patients’ questions regarding unsettled medical bills, reimbursements, and billing discrepancies.
  • Contacting patients through email, written correspondence, or telephone to inform them of overdue balances.
  • Working knowledge of insurance AR follow up. Very knowledgeable of payor denials, reason codes, polices and guidelines.
  • Resubmit claims and initiate corrected claims. Familiar with working with Electronic Medical Records and Clearing House claim rejections. 
  • Experience with all payors which includes Medicare, Managed Medicare, Medicaid and commercial.
  • High school diploma or general education degree (GED) required. 
  • Minimum of three year experience working with medical billing procedures and insurance programs. 
  • Ability to retain knowledge of general clinic practices, policies and procedures. 
  • Accuracy and meticulous attention to detail is required. 
  • Must be able to organize and work independently.   
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