- Timely follow up of all claim denials.
- Submits corrected claims in a timely manner.
- Timely submission of appeals.
- Responds to inquiries from insurance company, patients and providers.
- Submits insurance/patient refunds in a timely manner.
- Analytically examines accounts.
- Identifies payer specific trends.
- Informs Management of any known issues.
- Does part to prevent fraud and abuse.
- Participates in educational activities, reviews coding and billing updates.
- Inform Management in a timely manner of any Medical Coverage Policy updates regarding your insurance carriers.
- Sets up payment plans for patient balances.
- Special projects as assigned.
- Performs other duties as assigned.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Performs other logically associated duties that enhance position through Continuous Quality Improvement.
- Serves as a preceptor for new Employees.
- Competent in communication with patients, including current working knowledge of medications, interventions and procedures provided.
- Competent in computer applications pertaining to position.
- High school diploma or equivalent required.
- 3 years of billing experience required.
- Good interpersonal and organizational skills.
- Highly detail oriented with a critical degree of accuracy regarding data entry
- Ability to analyze A/R Aging reports and prioritize work accordingly.
- Knowledge of medical billing/collections practices, computer programs, business office procedures required.
- Basic Knowledge of medical terminology, CPT and ICD-10 codes.
- Ability to comprehend and follow established office routines and policies.
- Strong oral and written communication skills.
- Understand the ethics of confidentiality.
- Understanding of different insurance carriers' guidelines.
- Tact and diplomacy.
- Customer service oriented.
- Proficiency with Microsoft Word.
- Basic math aptitude.
- Must be able to display positive attitudes and behaviors towards patients and all staff members.
- Ability to understand and follow directions.
- Ability to deal with confidential data.
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Accounts Receivable/Medical Insurance Billing Specialist - Jacksonville, United States - Jax Spine & Pain Centers
Description
JOB SUMMARY:This position is responsible for providing excellent customer service while answering questions from patients, staff, and insurance companies. The Billing Specialist will also have proper phone etiquette, computer skills and ability to multi-task and work well independently and as a team member in a fast-paced environment, collaborating effectively with all departments and cultivating a nurturing atmosphere of courtesy, compassion, respect, empathy, dignity, and optimism. This position will prepare and maintain all aspects of the clinic environment. JOB DUTIES:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Other functions
BASIC QUALIFICATIONS:
ABOUT OUR PRACTICEWe are proud to be the leading providers of progressive interventional pain relief.Our team of board-certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care.LOOKING FOR A CAREER IN THE MEDICAL FIELD?Apply today and have the potential to join Northeast Florida's Leading Interventional Pain Management Specialists. At Jax Spine & Pain Centers, we provide our patients with superior solutions to treat acute and chronic pain.Now serving multiple locations, our board certified physician's along with our professional staff value hands-on compassionate care, from the consultation through treatment. Please see the list below for our current openings. We seek qualified, highly energized and self-motivated individuals who respect the essence of time and appreciate the value of a smile.We are always accepting resumes for the following positions:Medical assistantsDME techniciansMedical billing/AR specialistsCall center customer service representatives.
