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Billing/Collection Specialist - Sacramento, United States - Sacent
Description
Originally established in 1957, Sacramento Ear, Nose & Throat's (SacENT) award-winning physicians are nationally recognized leaders in their fields.At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner.
SacENT is looking to fill the Billing/Collection Specialist position. Allergy background would be a plus.POSITION SUMMARY
Responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. Gather charge information, codes, enter/verify data in the Practice Management System, complete billing process and distribute billing information. Responsible for collection of delinquent patient accounts.
ESSENTIAL FUNCTIONS
BILLING
Researches all information needed to complete billing process including getting charge information from physicians.
Codes information about procedures performed and diagnosis on charge.
Keys charge information into on-line entry program and produces billing.
Works with other staff to follow-up on accounts until zero balance or turned over for collection.
Assists with coding and error resolution.
Assists with answering the telephone and provides information as requested.
Maintains required billing records, reports, files.
Participates in educational activities.
Maintains strictest confidentiality.
COLLECTION
Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third party responsible for reimbursement.
Performs various collection actions including contacting patients by phone and resubmitting claims to third party responsible for reimbursement.
Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
Reviews accounts for possible assignment makes recommendation to Billing Supervisor and prepares information for collection agency.
Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy. Contacts lawyers involved in third-party litigation.
Answers inquiries and correspondence from patients and insurance companies. Using Clinic approved correspondence letters.
Identifies and resolves patient billing complaints. Researches credit balances.
Participates in educational activities.
Maintains strictest confidentiality.
OTHER
Other duties as assigned.
KNOWLEDGE, SKILLS AND EXPERIENCE
High School graduation or GED.
Minimum Experience required:
Minimum of three years billing experience in a health care organization. Knowledge of medical terminology desirable. Word processing and computer experience.
Skills required:
Able to think and act independently on assigned tasks.
Demonstrates increasingly more ability to troubleshoot and solve overall issues.
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Use of computer systems, software, 10 key calculator
Effective communication abilities for phone contacts with insurance payers to resolve issues
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
Able to work in a team environment
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
Knowledge of accounting and bookkeeping procedures
Knowledge of medical terminology likely to be encountered in medical claims
Please apply and message us through Indeed to inquire more about the open positions with SacENT.
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