Job Description
As a Medical Billing and Collections Specialist Tier I with Skagit Radiology, you will provide essential administrative support in the billing and collections function of the medical revenue cycle process. Your responsibilities will include preparing new charges, completing insurance verification, maintaining patient records, and collecting on outstanding accounts receivable.
Duties & Responsibilities:
· Obtain needed and/or corrected information by contacting patients, physician’s offices, hospitals, next of kin, insurance carriers, etc.
· Verify that all patient information uploaded is accurate.
· Activate and bill patients within the billing system.
· Maintain the database by entering, updating, and retrieving data, as well as formatting and generating reports.
· Assist in the resolution of outstanding accounts receivable problems from past due accounts.
· Respond to inquiries from customers or external collection resources.
· Place calls and send messages to those with unresolved issues.
· Understand and maintain all governmental, regulatory, and company billing and compliance regulations and policies for payers.
· Follow up with patients, billers, insurance collectors, and other appropriate parties to collect open billings in a timely manner.
· Identify and report to management any patient issues with regards to billing and collections.
· Review, analyze, and reconcile Accounts Receivable
· Perform other duties as assigned.
· Represent the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties.
· Maintain and ensure the accuracy of pre-billing verification for self-pay accounts.
· Manage and maintain past due balance letter notifications to patients, ensuring proper address and responsible party information is identified.
· Follow up with partner sites to ensure accuracy and timely application of financial assistance.
Required Education, Training & Experience:
· High school diploma or equivalent required.
· 2+ years’ billing experience (preferred).
· Medical Billing Certification (preferred).
· Previous experience with hospital/clinic billing (preferred).
· Previous experience in a fast-paced physician practice (preferred).
Required Knowledge, Skills & Abilities:
· Spanish speaker preferred, not required.
· High level of quality awareness, accuracy, and attention to detail.
· Strong communication, organizational, and problem-solving skills.
· Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports.
· Sense of urgency and customer-oriented mindset with an understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI).
· Ability to work independently, multitask, and handle various priorities in a fast-paced environment.
· Working knowledge of payer reimbursement guidelines and government, regulatory, and company billing and compliance regulations/policies for assigned payers.
· Effective verbal and written communication skills.
· Represent the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties.
· Customer Focused: We listen to our customers’ needs and respond with a sense of urgency.
· Teamwork: Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
· Driven: We pursue our mission with energy and passion. We are nimble, results-oriented, and decisive. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.
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