Job Description

Medical Billing Specialist (Healthcare)

Billing Specialist

Our Billing Specialist plays a crucial role by ensuring accurate and timely processing of medical claims. This person will primarily be responsible for handling billing and invoicing procedures, working closely with healthcare providers, insurance companies, and patients to facilitate smooth financial transactions.

This is a remote position; however, all candidates considered for this position must currently reside within Central California.

Responsibilities

1. Prepares and submits clean claims to various insurance companies either electronically or by paper.
2. Contacts insurance companies regarding unpaid claims via rebill, appeals, or phone.
3. Accepts incoming phone calls for patient inquiries.
4. Answers questions from patients, clerical staff, and insurance companies via phone, email, and messaging portals.
5. Identifies and resolves patient billing complaints.
6. Prepares, reviews, and sends patient statements as needed.
7. Mails appropriate patient contact letters to resolve outstanding claims.
8. Evaluates patients' financial status and establishes budget payment plans.
9. Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.
10. Utilizes Practice Management software and completes assigned AR and patient tasking.
11. Participates in educational activities and attends monthly staff meetings.
12. Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
13. Performs other duties as assigned.

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