Medical Billing Specialist
The Billing Specialist is responsible for all revenue cycle activities which include: posting payments, analyzing explanation of benefit (EOB) statements and monitor accounts receivables. The billing specialist will maintain compliance with insurance companies and notify the Senior billing specialist when further investigation is necessary. The role also includes quality monitoring to ensure clean claim processing.
- Receive and post patient payments and schedule visits when necessary
- Apply insurance payments to patient accounts
- Follow up with insurance companies when claims are incorrectly denied, submit appeals and revise account information when necessary
- Regularly review and maintain up to date knowledge of insurance guidelines
- Guide and assist Patient Care Coordinators through difficult accounts
- Provide information and assist patients when help is needed by researching and resolving billing problems or issues
- Communicate and provide information to attorneys regarding medical records and patient balances
- High school diploma or general education degree (GED)
- Basic knowledge of billing and/or account receivable experience
- Billing and coding certification preferred.