Medical Billing Specialist
Overview: Serves as a Billing Analyst 3 and works an A/R plus assigned duties as per Billing Office Manager. Asks for assistance when needed and works closely with the Billing Office Manager. As all positions at COMC, our Billing Analysts treat patients and staff with deference and respect, works efficiently and knowledgeably in the processing of their responsibilities. They are always willing to assist in any administrative function, and are willing to cross train to work in many areas.
Account Analysts contribute to the efficiency of the whole with creative and thoughtful solutions to private practice challenges, and maintains patient confidentiality. Our Billing Analysts are true team players, always helping wherever needed within the Practice. With the Board of Directors and the Management Team, is responsible to lead by example in maintaining the highest standards of conduct and professionalism, hallmarked, by the COMC and PT style of excellent patient service, and respect and expressed appreciation for staff and physician contributions to the Practice. Every person who comes in contact with our Billing Analyst feels welcome. Every staff member is required to be quintessentially approachable in all matters. They do not gossip or reflect negativity. Their focus is the work. Socializing is reserved for breaks.
Physical Abilities: Must be able to meet the following requirements as demonstrated by past performance.
?? Must be able to bend, stretch and reach to accomplish duties
?? Must be able to move about the office in confined areas.
?? Must have adequate manual dexterity to write legibly and perform required procedures.
?? Must have adequate visual acuity to read, interpret and transcribe written material and to perform required procedures.
?? Must have adequate hearing and speaking abilities to interact appropriately with others, including patients and coworkers.
?? Contact involves dealing with sick people.
Travel is required to other offices when requested. You will be part of a team that "fills in" for four Medical offices in 4 towns: Cheshire, Meriden, Wallingford and Southington. You will be required to fill in wherever you may be needed, in any department. Therefore, cross-training is imperative for your position.
Maintains established practice policies and procedures, objectives, and customer service standards
Check E-Mail several times daily, and Voice Mail hourly. Assures work, office and patient areas are neat and orderly. Returns all calls within one hour of receipt.
Assists in maintaining and training of the use of the Practice Management system, all copiers, printers, and other office equipment as requested. Works with our IT outsources, Zirmed, CPS, and GTG as required.
Process payments and insurance activity to patient accounts
Updates account information
Interacts frequently with office staff to insure smooth flow of communication. Develop and maintain team building relationships with current and future staff.
Investigates billing problems and formulates solutions
Answers incoming phone calls related to billing issues. Advises patients about payment and insurance, takes messages as necessary. Directs calls. Composes and types letters as required for patients.
Has a sound understanding of multiple insurance plans to insure proper collection of payments
With concurrence of Business Office Manager, posts adjustments to patients accounts according to written policies and procedures
Maintains strictest confidentiality
Discuss coverage benefits, expectation of payment and deposits required with patient
Billing of primary and secondary charges to insurance companies
Posting patient and insurance payments as received
Follow up with patients on past due balances
Follow up with insurance companies on past due balances
Reviewing patient accounts monthly
Other duties as assigned to include distribution of faxes, mail and scanning.
Advance professional knowledge of medical field and IT/PM Centricity system, or any PM/EMR COMC embraces
Knowledge of all plug-ins as they relate to PM system, and works with Clinical/EMR manager on projects for CPS as necessary
Maintain and promote professional ethical standards for self and others in clinic
Train and perform various data entry functions in EMR/PM
Assists in all requested administrative functions
Work additional hours when requested, especially at peak times such as end of month
Attend conferences, office meetings, committee assignments as required
Attends departmental meetings, makes suggestions , plan for the upcoming week and help to solve problems
Performs other functions not listed here as requested by Management
Responsible for collections of outstanding accounts receivable and all other aspects of collections, resolving patients billing problems and reducing accounts receivable delinquency
Making outbound calls in a professional manner while keeping and improving patient relations
Resolves patient-billing problems and accounts receivable delinquency, Collect patient payments in accordance with payment due dates
Identify issues attributing to account delinquency and discuss them with management
Helping patients and/or staff with any billing questions
Self pay/Collections A/R
3rd Back up to check out
Spot checking for registration
Minimum Education: High School Graduate, Associate Degree preferred, GPA of 30 or higher. CPC preferred or willingness to Certify. IT Certifications and experience in PM Management systems
Minimum Experience: Knowledge of insurance billing, EOBs, appeals and all aspects of patient accounts receivable. Extensive working knowledge of insurance companies and language involved. Willingness to learn and take on new challenges on a daily basis. Position requires accuracy and ability to complete task in a fast paced environment. Facility for numbers.
Skills: Excellent Computer Skills, Microsoft Outlook, medical practice software and EMR. Microsoft Word a plus. Be capable of dealing tactfully and effectively with patients, employees, physicians and attorneys.