Medical Billing Specialist

Job Description

Job Description

Our client, a Medical Provider, is hiring for a Medical Billing Specialist!

The Billing Specialist is tasked with overseeing all aspects of medical accounts receivable collections for a physician medical group. They hold responsibility for following up on claim denials from all assigned insurance payers, resolving billing issues, and addressing inquiries from patients and clinic staff. Utilizing effective collection techniques, the Billing Specialist ensures that accounts receivable remain current, actively monitoring for delinquent payments and taking appropriate actions to rectify such instances.

Essential Job Duties & Responsibilities

• Follows up on insurance billing to ensure prompt receipt of payments.
• Demonstrates professionalism in interactions with patients and insurance companies regarding sensitive financial matters, actively working to recapture unpaid balances.
• Receives and resolves patient billing inquiries promptly, initiating adjustment requests as necessary to address any discrepancies.
• Proactively follows up on all zero payment explanations of benefits, exploring all available options to obtain claim payments.
• Conducts monthly reviews of assigned accounts, identifying inconsistencies and correcting errors as needed, ensuring accuracy.
• Provides comprehensive support for inquiries related to accounts, offering assistance and guidance to stakeholders.
• Conducts thorough research on billing issues and follows up with all relevant parties to achieve resolution.
• Initiates payer and / or patient refund requests for overpayments after conducting necessary research to validate the refund eligibility.
• Initiates debt write-off requests in accordance with established policies and procedures, adhering to regulatory guidelines.
• Other duties as assigned.

Experience

Education

Knowledge, Skills & Abilities

If you are interested in this role, we encourage you to apply online or call your local Robert Half Office at 210-696-8300!