Medical Billing Representative - Irvine, United States - Monarch Diagnostics

Description

The collection specialist is responsible for researching and handling rejections and denials, documenting related account activities, posting adjustments, handling collection calls, and knowledge in collections in regards to Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers.

The billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record and follow up on payer contracts or government regulations.

In addition, the collection specialist must demonstrate proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

• Will have experience in billing (medical billing)
• High levels of communication experience
• Detail oriented and organized
• Experience with collections
• Excellent communication, research, problemsolving, and time management skills
• High level of accuracy, efficiency, and accountability
• Outstanding critical thinking and organizational abilities
• Excellent Computer Skills
• Understanding of billing software and electronic medical records
• Must be within driving distance to our Irvine office

• Making cold calls regarding collections
• Pulling financial reports to determine outstanding payments
• Mailing out invoices to patients
• Updating patient information (if needed)
• Verifying benefits (contacting patients who no longer have benefits)
• Track outstanding patient collections
• Stay up to date on billing protocols
• Investigate historical data for each debt or bill
• Submit regular reports on the status of unpaid accounts and any repayment progress.
• This role will include reviewing payments, account followup, and overall responsibility of collection functions of assigned claims and accounts
• Prepare and submit billing data/corrections to Biller and status updates
• Ensure the patient's medical information is accurate and up to date
• Prepare bills and invoices, and document amounts due
• Monitor and record late payments
• Followup on missed payments and resolve financial discrepancies
• Examine patient charges for accuracy and request any missing information
• Investigate and appeal denied claims
• Help patients develop patient payment plans
• Receive payments and post amounts paid to patient accounts in patient database system
• Record information about the financial status of customers and the status of collection efforts
• Manage selfpay accounts
• Prepare adjustment and write off reports
• Understand the workings of authorizations
• Able to verify insurance benefits and update account demographics
• Followup on secondary billing, copays, and deductibles
• Crosstrain on other jobs in the department
• Work collaboratively with other billing team members
• Request and follow up on client information requests
• Other duties as directed

• High School diploma or equivalent required, plus 2 years of previous experience in accounts

• Strong customer service and client relationship building skills.
• General understanding of accounts receivable and billing processing.
• Strong organizational and communication skills are a must.
• Excellent analytical skill and ability to meet processing deadlines.
• Attend all required training seminars and meetings at scheduled times.
• Ability to work independently as well as part of a team
• Proficient in Microsoft and Google

• Medical, Dental and Vision