Medical Billing/ Accounts Receivable Specialist

ESSENTIAL FUNCTIONS

• Document and detail all pertinent information relating to accounts.
• Maintain patient and operation confidentiality.
• Input receipts and/or charges on a daily basis.
• Follow up with Title 19 for denied or improperly paid claims.
• Follow up on denied claims, calling insurance companies for updates and to settle disputes.
• Remain current on insurance and billing guidelines/regulations and inform the Director of changes.
• Document and recommend appropriate write-offs to the VP of Finance for approval.
• Respond to patient / family billing inquiries.
• Provide coding support to therapists.
• Participate in quality management efforts.
• Follow the policies and procedures established by CNBT.
• Demonstrate working knowledge of all business office tasks.
• Assist all billing staff in work related duties.
• Cross-train billing tasks to allow for necessary back up coverage.
• Communicate all business operations and functions to the Director.
• In conjunction with billing staff (and other staff as appropriate) develop / modify office procedures and create and interpret daily / monthly reports.
• Transcription (PA's and PA response letters)
• Balancing batches
• Assist with A/R
• End of Day reports
• Refunds (writing up and backing out)
• Batch all charges from therapists (Billing Review)
• Submit all electronic claims.
• Print patient pay statements monthly
• Print EOB's from insurance portals.
• Post payments - Both insurance and patient payments
• Recommend physical operational changes related to office functions.
• Document payments in Excel for accounting.
• Analyze efficiency and value of current equipment; assist in selecting new equipment.

SKILLS & QUALIFICATIONS

• Bachelors or Associate Degree in area related to business or management, and / or five years medical billing or management experience.
• Ability to effectively communicate in verbal, nonverbal, and written forms; proficient in English language.
• Ability to effectively use equipment for tasks, including phone, fax, copier, computer, calculator.
• Ability to train others in accounts receivable tasks.
• Ability to deal with a variety of personalities and situations that require tact, judgment, and poise.
• Ability to lift and carry up to 15#.

WORK CONDITIONS

• This job operates in a professional office environment. Requires the ability to travel to external sites, meetings, etc.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.