Why You'll Love This Job

The billing specialist is responsible for obtaining and following up on payments from patients and insurances based on established contracts.

Responsibilities

Review and process account adjustments and overpayment refunds in an efficient and timely manner
Respond to detailed questions from patients and payers regarding claims or account status
Reconcile detailed AR accounts
Process claim appeals
Identify coding and billing errors
Monitor insurance claims
Contact insurance companies on behalf of the practice
Update patient account records to identify actions taken
Assign bad debt accounts to the collection agency
Monitor accounts receivable
Maintain knowledge of all third-party and CMS reimbursement requirements
Participate in a billing and collection-related meeting to discuss new and ongoing account resolution
Set up payment plans on self-pay accounts.
Reviews daily drug posting
Corrects posting errors
Follows Medical Record Release policy
Adheres to OSHA, IPAA, and security protocols
Supports RGF's Mission Statement

Excellent communication skills
Knowledge of billing procedures and collection techniques
An excellent understanding of AR processes, third-party payers, and CMS regulations
The ability to read and understand EOBs
Experience using medical billing software
Ability to prioritize tasks properly
Excellent verbal and written communication skills
Knowledge of Nextgen is a plus
Ability to answer multi-line telephones
Ability to prioritize tasks properly
Ability to work both in a team environment and independently

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