Medical Billing Specialist - Irvine, United States - HealthQuest Esoterics

Description

• Completes payment entry in a timely and accurate manner which entails:
• Post payments to practice management system.
• Balance batches and run transaction payment reports.
• Records batch totals with date and initial on payment receipt spreadsheet.
• Identifies any payment not being paid at the allowed/contracted amount and communicates this to the appropriate billing representative.
• Properly communicates and documents payment denials in the practice management system and to the appropriate billing representative in a timely manner.
• Cross trained to provide coverage in charge entry.
• Batches patient statement electronically on a weekly basis.
• Creates invoices for attorney fees and communicates with physician office upon receipt of payment.
• Maintains professional knowledge regarding medical billing and coding procedures, insurance carriers, federal programs, etc.
• Works with the Billing Department to send out medical records and patient statements.
• Ensures the accuracy of documents submitted.
• Communicates effectively with carriers to submit necessary documentation for payment of claim.
• Makes calls to carriers and patients regarding the status of claims and payment if necessary.
• Assists in accounts receivables and billing for the company to ensure timely processing of all A/R transactions and new claims.
• Responsible for collections of all Accounts Receivable and tracking of A/R Aging.
• Resolves issues related to incorrect billings and any disputes raised by the customer.
• Ensures all receivables are collected promptly and applied to customer accounts accurately.
• Reviews status of delinquent accounts and initiate collection activity.
• Researches and resolves disputed delinquent account balances.
• Manages and maintains positive relations with customers.
• Works closely with other departments and groups to resolve issues and exceed client service expectations.
• Maintains accurate customer files, keep track of name changes, address changes and mailing attention for all accounts.
• Responsible for documenting all correspondence with insurance, client, and/or insurance to record.
• Prepares and sends Medical Record to insurance.
• Communicates effectively with carriers to submit what is necessary for payment.

• Degree in Business Administration or equivalent experience as Medical Billing Collections; or equivalent combination of education and experience.
• At lease one year of healthcare billing experience preferred.

• Previous payment posting experience preferred but not required.
• Must possess the ability to communicate with people at all levels of the organization, patients and external agencies.
• Must be open, agreeable and professional when gathering and referring information to the appropriate member of the team.
• Must have the ability to work within tight deadlines and prioritize conflicting demands whilst working effectively.
• Must have the ability to listen actively when spoken to and effectively communicate their thoughts to others.
• Must have the ability to work alone but also in a team, with fellow staff, in the business setting.
• Must possess good time management skills.
• Must actively seek to accomplish tasks and be able to use a variety of methods and ideas to solve problems when needed, seeking advice, and/or guidance from fellow employees.

• Work in Company's office located in Irvine, California.
• Must work in office: Monday
• Friday from 8:30 AM to 5:00 PM.

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends