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Medical Billing Specialist - Multi Physician/Multi Location Practice

The RoccoJones Group San Antonio, TX
  • $18.50 - $21.00 Hourly
  • Full Time
  • Health Insurance, Dental Insurance, Vision Insurance, 401K / Retirement
  • Employer Fairly Likely to Respond

A well established Multi-Physician, Multi-Location Podiatry Practice. Is seeking a Medical Billing Specialist with advanced expertise in Full Cycle Billing/Collections and Revenue Cycle.  Must be proficient in Appeals/Denials, Surgical Billing and have the ability to scrub claims.  A background in medical/billing/collections in a large hospital, or third party billing company would be perfect. 

Job Duties:

  • Will perform audits of patient accounts to ensure accuracy and timely payment.
  • Aging reports on a monthly basis and reports inconsistencies; corrects errors as appropriate.
  • Contact patients regarding delinquent accounts and arranges mutually acceptable payment schedules.
  • Follow up on insurance billing to ensure timely receipt of payments.
  • Will deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
  • Receive and resolve patient billing complaints and questions.
  • Initiate adjustments as necessary and follow up on all zero payment EOBS and exercise all options to obtain claim payments.
  • Review credit balance reports for the correct recipient of refund.
  • Reconcile refund accounts; attached documentation and forwards to the supervisor to process refund checks.
  • Identify problems on accounts and follows through to conclusion
  • Respond to insurance companies requests for information in a prompt and professional manner.
  • Review appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to the appropriate court in a timely manner.
  • Make financial arrangements for payment of patient accounts and follow up to determine if payment arrangements are being met; contacts patients to resolve problems; respond to correspondence or telephone calls from patients about accounts
  • Will review EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.

Job Requirements:

  • Have a high school diploma and/or GED.
  • Must have at least 5-7 years of A/R experience for a multi-physician practice. Must have recent working experience with adjustments, appeals, credits, dealing with insurance companies and patients.
  • Must have at least 5-7 years experience in a medical business office setting.
  • Must have demonstrated work history on high dollar collections, appeals and in dealing with insurance carriers, patients, and collection agencies.
  • Must have strong computer knowledge working with various billing applications/software.
  • Must be dependable and willing to work extended hours - occasional.
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