Advocare Gable Medical Group
Description
Medical Billing Collection Specialist - Part -Time (Mondays, Wednesdays, Fridays-10AM-6PM)
As a Medical Billing Collection Specialist, you will play a crucial role in ensuring the financial health of our organization by managing and optimizing the accounts receivable process.Responsibilities:- Examining claims, patient statements, and insurance details to identify discrepancies or unpaid balances.
- Reaching out to insurance companies, parents, patients, or other responsible parties to inquire about payment status and resolve billing issues.
- Managing the aging of accounts, tracking payments, and following up on overdue accounts.
- Investigating denied claims, preparing appeals, and submitting necessary documentation to insurance companies.
- Keeping detailed records of all collection efforts, payment statuses, and communication with relevant parties.
- Adhering to regulations like HIPAA and staying updated on payer requirements and billing guidelines.
Part-time Benefits:
- Vision
- Flexible Spending Accounts
- MetLife Auto/Vehicle & Home Insurance Discounts
Requirements
- Proven experience in resolving denied/underpaid claims and conducting thorough follow-ups with insurance providers to maximize reimbursements.
- Providing excellent Customer service while addressing patient billing inquiries and resolving payment disputes.
- Effective verbal and written communication are crucial for interacting with various parties.
- Identifying and resolving billing discrepancies, payment issues, and claim denials.
- Accurate record-keeping and attention to detail are essential for successful collections.
- Understanding medical coding, insurance processes, and relevant regulations is important.
- Meeting deadlines, managing a high volume of accounts, and managing challenging situations.
- Understanding Explanation of Benefits (EOB) forms and the appeals process for healthcare claims is often required.
- Experience with EMR Systems.
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