Medical Billing Specialist

IN PERSON POSITION PURPOSE OF THE POSITION: Maintain accurate information on each patient's account. Ensure high level of customer service is maintained on accounts. POSITION SCOPE Responsible for collecting, posting, and managing account payments. Responsible for submitting claims, following up with insurance companies and patients in a timely manner. ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES Identifies denials and pursues reconsideration or appeal per protocol. Maintains log of all denials and their status.(daily) Creates adjustment log and forwarded to the billing manager.(weekly) Follows up on appeals to determine status and/or if additional information is needed to re-adjudicate the claims.(weekly) Reviews statements and forwards to clearinghouse for sending.(weekly) Follows collection policies to efficiently collect from patients and decrease the number of statements sent each week. Calls patients regarding their owed balances per collection policy. Prepares insurance and patient refunds.(weekly) Act as a resource to patients and their families about their account balances and insurance questions. Serves as an expert in the reading of explanation of benefits and procedures/tools to appeal denials. Covers the duties of other team members as needed. Adheres to UroHealth Partners policies and procedures, rules and regulations, and other State and Federal regulatory requirements. Complete other duties as assigned. Must work as a team member and perform actions consistent with established UroHealth Partners policies and procedures including standards for safety, attendance, punctuality and personal appearance. Perform other duties as assigned. Expected hours 40.0 per week Benefits 401(k) Dental insurance Flexible schedule Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance Education High school or equivalent (Required) Experience Medical billing: 1 year (Required) EMR systems: 1 year (Required) Work Location In person. #J-18808-Ljbffr