Business Office Specialist - Bryan, United States - Central Texas Gastroenterology Consultants

Description

Under the supervision of the Business Office Supervisor and Practice Manager, responsible for handling portions of professional billing, payment posting, research and follow up of unpaid claims including refunds.

• Work well with others
• Follow the Chain of Command
• Participate in staff meetings and all coding/billing related educational activities

• Identifies and reports correct code selection from physician documentation, including, but not be limited to; chart notes, abstracting from medical records documentation and ensures compliant coding.
• Ability to accurately add specific data elements to claims such as modifiers, payerspecific information, including authorization criteria, CPT, and ICD10 codes.
• Research and verify accuracy of billing data and revise any errors including adjustments and denials.
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry.
• Reduce denials by the correct use of modifiers and linking diagnosis codes with services.
• Knowledge of in and out of network insurances, insurance verification, patient responsibility, and process for prior authorization.
• Communicates effectively with provider and/or all appropriate parties regarding missing information such as CPT, diagnoses codes, documents, operative reports, etc. to ensure proper coding
• Knowledge of interpreting EOBs, posting payments, and adjusting accounts appropriately.
• Manage the status of accounts and identify reimbursement trends
• Maintain Appeal/denials. Ensure timely completion of appeals.
• Responsible for the processing and discrepancy reconciliation of charge/payment batches
• Ability to successfully track and follow up on information requests.
• Work as part of our team to facilitate information and resolve charge/payment questions.
• Exhibit exceptional customer service skills; answering internal and external calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
• Proactive resolution of issues and timely response to questions and concerns.
• Increase revenue by collecting payments on outstanding accounts
• Contact patients regarding outstanding balances
• Establish payment plans to help patients manage payment of bills
• Send delinquent accounts to collections agency
• Create and mail patient collection letters
• Respond to billing questions from patients and staff
• Patient and Insurance Refunds
• Balances and reconciles month end reports
• Cross training in other Business Office areas
• Attends and participates in all coding/billing related educational activities as assigned
• Regular and predictable attendance
• Performs other duties as assigned

• Problem Solving
• Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Uses reason even when dealing with emotional topics
• Customer Service
• Manages difficult or emotional patient situations

• Focuses on solving conflict, not blame shifting; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things

• Speaks clearly and persuasively in positive or negative situations; Responds well to questions; Participates in meetings

• Writes clearly and informatively; Able to read and interpret written information accurately
• Strong organizational skills
• Proficient in Microsoft Office; emphasis on Excel; 10 Key and strong math skills.
• Ability in work in a highvolume environment

• High School Diploma or GED
• Minimum two (2) years of experience in a medical billing office
• Gastroenterology experience helpful / not required
• Ability to speak and understand the English language
• Strong ethical and moral character references
• Must pass background check and urine drug screen
• Must be authorized to work in the United States

• Strong experience with 10key, MS Office (Word, Excel)
• Types a minimum of 40 wpm
• Strong knowledge of Microsoft Excel and Outlook
• Strong organizational skills

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

• Day shift
• Monday to Friday

• Office
• Private practice