Business Office Specialist / Medical Billing

Position Summary:

Under the supervision of the Business Office Supervisor and Practice Manager, responsible for handling portions of professional billing, payment posting, research and follow up of unpaid claims including refunds. Promotes a favorable image of the practice to physicians, patients, insurance companies, and the general public. Teamwork is Priority, you must:

• Work well with others
• Follow the Chain of Command
• Participate in staff meetings and all coding/billing related educational activities Duties and Responsibilities
• Identifies and reports correct code selection from physician documentation, including, but not be limited to; chart notes, abstracting from medical records documentation and ensures compliant coding.
• Ability to accurately add specific data elements to claims such as modifiers, payer-specific information, including authorization criteria, CPT, and ICD-10 codes.
• Research and verify accuracy of billing data and revise any errors including adjustments and denials.
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry.
• Reduce denials by the correct use of modifiers and linking diagnosis codes with services.
• Knowledge of in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization.
• Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, operative reports, etc. to ensure proper coding
• Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
• Manage the status of accounts and identify reimbursement trends
• Maintain Appeal/denials. Ensure timely completion of appeals.
• Responsible for the processing and discrepancy reconciliation of charge/payment batches
• Ability to successfully track and follow up on information requests.
• Work as part of our team to facilitate information and resolve charge/payment questions.
• Exhibit exceptional customer service skills; answering internal and external calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
• Proactive resolution of issues and timely response to questions and concerns.
• Increase revenue by collecting payments on outstanding accounts
• Contact patients regarding outstanding balances
• Establish payment plans to help patients manage payment of bills
• Send delinquent accounts to collections agency
• Create and mail patient collection letters
• Respond to billing questions from patients and staff
• Patient and Insurance Refunds
• Balances and reconciles month end reports
• Cross training in other Business Office areas
• Attends and participates in all coding/billing related educational activities as assigned
• Regular and predictable attendance
• Performs other duties as assigned Skills needed:
• Problem Solving
• Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Uses reason even when dealing with emotional topics
• Customer Service
• Manages difficult or emotional patient situations
• Interpersonal Skills
• Focuses on solving conflict, not blame shifting; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things
• Oral Communication
• Speaks clearly and persuasively in positive or negative situations; Responds well to questions; Participates in meetings
• Written Communication
• Writes clearly and informatively; Able to read and interpret written information accurately
• Strong organizational skills
• Proficient in Microsoft Office; emphasis on Excel; 10 Key and strong math skills.
• Ability in work in a high-volume environment

Qualifications:

• High School Diploma or GED
• Minimum two (2) years of experience in a medical billing office
• Gastroenterology experience helpful / not required
• Ability to speak and understand the English language
• Strong ethical and moral character references
• Must pass background check and urine drug screen
• Must be authorized to work in the

United States General Skills:

• Strong experience with 10-key, MS Office (Word, Excel)
• Types a minimum of 40 wpm
• Strong knowledge of Microsoft Excel and Outlook
• Strong organizational skills

Job Type:

Full-time Pay:

From $15.50 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person