01/28/2020
BETTER WAY BILLING IS HIRING! Open position is part-time with opportunity to become full-time as business continues to grow. We are in Sylvan Lake, Michigan. Please share!
SEEKING: MEDICAL BILLING AND COLLECTIONS SPECIALIST
Responsible for:
-Timely and accurate filing of claims
-Performing follow-up on denials/non-payment
-Posting payments
-Answering phones
-Taking patient payments
Requires flexibility in work assignments and support of other functions within the revenue cycle process.
IN THIS ROLE, THE IDEAL CANDIDATE WILL:
-Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
-Must be able to interpret payer explanation of benefits (EOBs) to ensure proper reimbursement of claims, and report any problems, issues, or payer trends to management
-Research insurance denials to resolve claims in a timely manner
-Possess ability to analyze accounts and determine next appropriate action
-Work with payers and/or payer web portals to determine reasons for denials and correct and resubmit claims for reimbursement in a timely manner.
-Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly, or bill patient
-Research payer guidelines and write and submit appeals as appropriate
--Process third party payer correspondence, refunds, and adjustments in a timely manner
-Accurately and thoroughly document the pertinent collection activities in appropriate systems.
-Respond to all patient inquiries within 24-48 hours
-Remain up to date on payer informational notices and changes
-Share information and ideas for process improvements with team
-Comply with all policies, practices, and procedures
IDEAL CANDIDATE WILL HAVE THE FOLLOWING QUALIFICATIONS:
-Minimum 3 years’ experience preferred
-Strong organizational skills
-Good troubleshooting skills
-Strong attention to detail
-Proficiency with Word, Excel, Outlook preferred
-Knowledgeable with insurance web portals and practice management systems
-Understanding of insurance guidelines, including Medicare and other gov’t, private, self-insurance and managed-care plans
-Handle inquiries and respond via telephone or in writing
-Ability to explain and resolve billing questions/issues to patient, sales representative, providers.
-Proper use of ICD-10, CPT and HCPCS codes
-Ability to independently meet tight deadlines in a project-based atmosphere
-Prepare and submit medical claims electronically
-Identify and resolve discrepancies and claims delay issues that impact billing and collections
-Clear understanding of how to analyze and prioritize the work on an open item/aging report
-Follow departmental processes and procedures
PERSONAL AND PROFESSIONAL ATTRIBUTES: The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:
-Strong work ethic
-Sound judgment
-Proven written and verbal communication skills
-Natural curiosity to pursue issues and increase expertise
-The courage to promote and defend ideas and analyses
-Passionate about serving clients and patients
-Strives to make an impact on improving our business processes and results
-Exemplary honesty and integrity
-Ability to collaborate effectively and work selflessly as part of a team
Please send resume to: shatha@betterwaybilling.com
