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Billing Specialist

Billing Specialist

Waco Family MedicineWaco, TX, US
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Job Posting

Level : Experienced

Job Location : Bellmead, TX

Position Type : Full Time

Education Level : High School

Travel Percentage : None

Job Shift : Day

Job Category : Health Care

Description

Primary Duties :

  • Maintain a current knowledge of insurance carrier and / or state program claims filing policies and procedures
  • Verify patient demographics and financial coverage; update as needed
  • Research and verify patient and / or insurance company and / or state program refunds / recoupments
  • Adjust patients accounts to reflect changes in payment responsibility
  • Verify accuracy of information on paper medical claim forms and mail to selected insurance carriers and / or state programs
  • Research patient charges not automatically assigned to selected insurance carriers and / or state programs, make corrections and assign manually
  • Maintain patient accounts; give GHC program discounts and / or other adjustments as needed
  • Appeal service charges rejected by selected insurance carriers and / or state programs and resubmit amended claim forms
  • Process claims / vouchers as needed for insurance plans and / or state programs
  • Obtain pre-certifications, prior-authorizations, or referrals for special provider services as needed
  • Verify motor vehicle or accident information with patient's insurance carrier
  • Maintain work ques with claim errors
  • Assist insurance carriers and / or state programs to acquire supplemental patient information needed to process claims
  • Assist patients to understand fees for services and billing processes
  • Assist patients to make payment arrangements and find financial assistance
  • Assist outside providers and vendors to obtain physician billing information
  • Assist employees to understand policies and procedures related to billing matters
  • Communicate and support training issues with billing staff
  • Comply with all regulations related to confidentiality of patient information
  • Maintain and / or create new payor and plans as needed
  • Able to manage multiple priorities and manage stress appropriately
  • Communicates appropriately and clearly with a pleasant and professional manner to all
  • Demonstrates excellent judgment in handling situations not covered by written or verbal instructions
  • Demonstrates a commitment to the mission, core values, and goals of Waco Family Medicine and its healthcare delivery including the ability to deliver exceptional patient focus with quality, compassion, and respect
  • Maintain certifications and website passwords as applicable

Other Duties :

  • Assist in scheduling patient appointments
  • Process billing statements and balance notification letters to patients
  • Assist patients to make payments on owed balances
  • Provide follow-up on patient's payment arrangements
  • Assist with daily mail duties
  • Provide backup support for clerks and other billing staff as needed
  • Other duties as assigned by supervisor
  • Physical and Mental Requirements :

  • Visual and auditory accuracy
  • Shift length 8 hours
  • Indoor setting
  • Continuous use of computer, calculator
  • Long periods of sitting and walking
  • Frequent use of telephone
  • Frequent use of stepladder
  • Continuous repetitive grasping and manipulation of both hands
  • Continuous conversational communication
  • Occasional reaching, standing, squatting, bending, kneeling, twisting and climbing
  • Occasional carrying, lifting, pushing and pulling of up to 10 Lbs
  • Infrequent use of personal transportation
  • Working in a frequently noise environment
  • Continuously working in a tight area
  • Understand / carry out simple / detailed, oral / written instructions
  • Memorize and retain instructions
  • Read and interpret detailed specifications
  • Qualifications

    Reports To : Director of Billing Services

    Education : High School Diploma or Equivalent required, College Hours preferred

    Skills : Computer literacy, knowledge of ICD-10 CM / CPT coding, medical office billing and collection practices, federal / state / local financial assistance programs, strong interpersonal, oral, and written communication skills, excellent telephone, and customer service skills.

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    Billing Specialist • Waco, TX, US