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Langhorne

    Medical Billing Specialist - Langhorne, United States - Center for Advanced Eye Care

    Center for Advanced Eye Care
    Center for Advanced Eye Care Langhorne, United States

    2 weeks ago

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    Description

    Job Description

    Job DescriptionAs a Medical Billing Specialist – Accounts Receivable, you will be responsible for the insurance billing and collections function for an Ophthalmology practice consisting of 10 doctors. A key aspect of this role is to prioritize and manage patient financial obligations efficiently. Your success in this position will be driven by your ability to complete billing and/or accounts receivable follow-up while achieving the expected quality and productivity requirements.

    Essential Responsibilities:
    • Responsible for billing, charge entry, payment posting, eligibility, coverage, patient collections, and overpayment resolution.
    • Contact payers for appeals, documentation needs, reconsiderations, adjustments, claim corrections and any other activity that pertains to resolution of claim issues.
    • Complete follow-up of patient accounts to maximize reimbursement.
    • Monitor and execute work on assigned claim worklists, AR worklists.
    • Ensure that all patient information is accurate and complete and request any missing patient information.
    • Interact with physicians to obtain billing and documentation clarification.
    • Resolve posting issues, manage remittance and all correspondence.
    • Illustrate excellent knowledge of healthcare industry regarding the revenue cycle, coding, and claim processing.
    • Strong attention to detail, commitment to service, and ability to follow through on assigned responsibilities.
    • Work effectively with others and as a team member.
    • Answer patient inquiries regarding account status professionally, accurately, and timely; Maintain HIPAA confidentiality of patients.
    • Complete other duties/projects as assigned to help support the overall billing function.

    What You'll Need:
    • 5+ years of billing and/or medical collections experience or equivalent accounting experience; Prior ophthalmic or optometric medical billing experience
    • Knowledge of principles and practices of medical billing and ICD-10
    • Ability to communicate clearly and professionally to patients over the phone.
    • Ability to effectively interpret and post various payer EOB payments.
    • Enthusiasm and patient relationship focused – must be able to work with patients on the phone to resolve payment issues in a mutually satisfactory manner.
    • Proven dependability and reliability.
    • Organization in how you go about your work, able to multi-task when needed.
    • Discretion and professionalism - which is expected due to the exposure to sensitive operational and financial information.
    • Self-motivation and flexibility to handle tasks as they arise in addition to those already scheduled.
    • Demonstrated skills in problem solving, time management, and adaptability to a changing environment.
    • Computer literacy and strong keyboarding skills

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