Job Description
Medical Office Receptionist/Collections Specialist We are looking to hire a Medical Office Receptionist and Collections Specialist. These positions will perform administrative duties involved with coordinating patient and physician schedules, file management and office organization, as well as perform collections activities on insurance denials and prepare appeals on outstanding balances in the professional/facility fee environment. To succeed in this role, you must possess in-depth knowledge of billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with various insurance companies and customers. This position requires an individual that can multi-task, problem solve, and manage time effectively.
Job Requirements/Qualifications Receptionist:
2-3 years' experience in a team role Ability to multi-task while focusing on tasks at hand Strong telephone skills, customer service skills, time management, organization, and attention to detail Proficient knowledge of Microsoft Word and aptitude to learn practice-specific computer software programs Collections Specialist:
At least 2 years Insurance Collection experience Organized, self-sufficient, analytical, and detail orientated Knowledge of Insurance plans providers Knowledge of Electronic Medical Records, Collections, Payment Posting, Reimbursement, & Billing Knowledge of HIPPA, ICD-10
codes, and CPT codes is required Knowledge of EOB's required Responsibilities The Medical Office Receptionist/Collections Specialist is responsible for collecting patient and payer balances. The duties include but are not limited to the follow-up of accounts, verifying and updating information and assisting in completing special projects during month-end and year-end financial reporting process. Additionally, the Medical Office Receptionist/Collections Specialist will have the following duties: Welcome patients and visitors by greeting them, in person or on the telephone; answering or referring inquiries. Optimize patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone. Manage the Check-In and Check-Out processes for each patient seen, being sure to update existing patient demographics by collecting detailed patient information including personal and financial information. Answer multi-line phones and handle the caller's needs while maintaining a polite, consistent phone manner using proper telephone etiquette. Provide patients with intake and new patient forms as well as copies of any legally required documents. Process payments from patients for co-pays, uninsured visits, and/or product. Keeps patient appointments on schedule by notifying medical staff of patient's arrival; reviewing delivery compared to schedule; reminding provider of service delays. Ensure availability of treatment information by keeping access to patient records. Maintain patient accounts by obtaining, recording, and updating personal and financial information. Obtain revenue by recording and updating financial information; recording and collecting patient charges; filing, collecting and expediting third-party claims. Verify insurance coverage prior to appointments as required by each insurance carrier. Ensure Prior Authorizations are submitted and approved before patients arrive for their appointment, if needed. Maintain clear understanding of billing process and is able to assist patients with payment plans or interpreting their bill. Manage the Master Schedule in AdvancedMD, following the scheduling protocol set forth. Manage and check incoming faxes, prioritizing and flagging each as appropriate. Place calls to patients that need follow-up appointments using the Recall Algorithm. Manage incoming referrals from other medical offices by entering the patient data into AdvancedMD then calling the referred patient to make an appointment. Protect patients' rights by maintaining confidentiality of personal and financial information. Contribute to team effort by accomplishing related results as needed. Receive, investigate, and respond to inquiries from payor Research any error and make necessary corrections for clean claim production and submission Ensure all claims are submitted in a timely manner Actively follow-up and collect on all assigned payers, and facilities Follow up on payment errors, review posting, and calculate allowable amount before approving patient statements Review Insurance EOB and initiate appeals as necessary Resolve all insurance requests, inquiries, concerns, in an expedient and respectful manner Follow-up on open balances listed on monthly AR and Payer Follow-up reports. Review and update patient demographics and payer information as necessary for completion of claims payment. Responsible for transferring balances and printing claims. Generate correspondence to payers such as appeals and payments. Promptly identify any errors or other issues in claims processing Effectively following up on any unpaid balances Expeditiously bringing any remaining balance to resolution. Meet quality assurance and productivity standards by identifying and reconciling insurance balance accounts Review explanations of benefits details on denials Communicate with insurance payer representatives, patients, and center staff to ensure timely and accurate resolution of account transactions. Prioritize assigned accounts to maximize aged accounts receivable resolution Review explanation of benefit (EOB) documentation and notate accounts on collection activity to perform account resolution Receive inbound patient calls regarding financial responsibility Must be able to prioritize and work independently Be able to work projects and complete projects within a reasonable time frame Be able to understand the revenue cycle process and how it relates to payers and patients. Be able to review claims and understand the denial process and what is required to work a denial to obtain payment for the center. Regular and reliable attendance required. To Appy:
Please send your cover letter and résumé and specify which position you are applying for (Receptionist or Collections Specialist) NO PHONE CALLS, PLEASE.
All hires are subject to background and drug screening. Pay varies depending on experience and qualifications. Work Remotely No Job Type:
Full-time Pay:
$17.00 - $32.00 per hour Benefits:
Health insurance Paid time off Work Location:
In person
