Medical Billing/Financial Counselor

Medical Billing/Financial Counselor SENT Management Services

LLC - 5.0

Sacramento, CA Job Details Full-time $23 - $27 an hour 15 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance Life insurance Qualifications Insurance verification Research Medical billing Full Job Description

JOB DESCRIPTION

Originally established in 1957, Sacramento Ear, Nose & Throat's (SacENT) award-winning physicians are nationally recognized leaders in their fields. At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner.

POSITION SUMMMARY

Responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. Gather charge information, codes, enter/verify data in the Practice Management System, complete billing process and distribute billing information. Responsible for reviewing and communicating insurance coverage and benefits for individual patients.

ESSENTIAL FUNCTIONS BILLING/FINANCIAL COUNSELOR

Research all information needed to complete billing process including getting charge information from physicians. Codes information about procedures performed and diagnosis on charge. Keys charge information into on-line entry program and produces billing. Works with other staff to follow-upon accounts until zero balance or turned over for collection. Patient outstanding balance follow ups. Assists with coding and error resolution. Assists with answering the telephone and provides information as requested. Assist with reviewing and communicating insurance coverage and benefits for individual patients Maintains required billing records, reports, files.

COLLECTION

Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third party responsible for reimbursement. Performs various collection actions including contacting patients by phone and resubmitting claims to third party responsible for reimbursement. Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. Reviews accounts for possible assignment makes recommendation to Billing Supervisor and prepares information for collection agency. Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy. Contacts lawyers involved in third-party litigation. Answers inquiries and correspondence from patients and insurance companies. Using Clinic approved correspondence letters. Identifies and resolves patient billing complaints, and research credit balances. Participates in educational activities. Maintains strictest confidentiality. OTHER Other duties as assigned.

KNOWLEDGE, SKILLS AND EXPERIENCE

Knowledge Working knowledge of EOB's ,EFT's and ERA's Working knowledge of

ICD-9/10& CPT

Codes Working Knowledge of health insurance denial processing Must be familiar with insurance eligibility requirements Skills Able to think and act independently on assigned tasks. Demonstrates increasingly more ability to troubleshoot and solve overall issues. Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems. Use of computer systems, software, 10 key calculators Effective communication abilities for phone contacts with insurance payers to resolve issues Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds Able to work in a team environment Problem-solving skills to research and resolve discrepancies, denials, appeals, collections Knowledge of accounting and bookkeeping procedures Knowledge of medical terminology likely to been countered in medical claims Experience required

Medical Billing:

3 years (Required)

Medical Insurance:

2 Years (Required)

EPIC Preferred Job Type:

Full-time Pay:

$23.00- $27.00 per hour

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift in office Day shift Monday to Friday