Medical Billing Specialist

Job Purpose

Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that affect billing and collection. Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials. Manage correspondence.

Duties And Responsibilities

• Performs billing and computer functions, including patient & thirds party billing, data entry and posting encounters.
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Handles the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials.
• Answers questions from patients, FHCHC staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares reviews and sends patient statements.
• Handles all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
• Takes calls from patients and insurance companies regarding billing and statement questions.
• Processes and posts all patient and/or insurance payments.

Qualifications

• High School diploma or GED with experience in medical billing.
• Knowledge of third party billing requirements, ICD and CPT codes.
• Needs good interpersonal skills and ability to work as a member of the team to serve the patients.
• Accurate & detail oriented.
• Ability to work independently.

Bi-lingual in English and Spanish

• Preferred Technical Qualifications.
• Ability to use computer and multi-lined telephones.
• Understanding of billing practice.
• Oral and written Proficiency in English American.

All employment is decided on the basis of qualifications, merit, and business need.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law.