Patient Accounts and Billing Specialist

Primary Responsibilities:

• Payment Processing: Handle the processing of payments from patients and insurance companies, ensuring accurate application to accounts.
• Account Updates: Maintain detailed patient records of billing information, payments, adjustments, verification, and authorized approvals to ensure smooth billing processes and minimize claim denials.
• Communication: Communicate effectively with patients, providers, and the billing department regarding patient responsibility, insurance coverage, billing inquiries, explanation of benefits (EOB), financial responsibilities, and billing issues.
• Administrative Tasks: Perform general administrative duties such as filing, data entry, scheduling, and maintaining patient records.
• Verify Insurance Benefits: Accurately verify patient medical benefits by contacting insurance providers to confirm valid and up-to-date coverage, benefit details, copays, deductibles, and out-of-pocket expenses.
• Prior Authorizations: Verify insurance authorizations and successfully submit prior authorizations to ensure full reimbursement.
• Follow-Up: Follow up on outstanding claims and unpaid bills, including contacting insurance companies, patients, and billing.
• Oversight: Provide support and oversight to the billing department, ensuring accurate documentation of billing activities.
• Collections: Handle the collections process for overdue accounts, including contacting patients and negotiating payment arrangements.
• Problem Solving: Address and resolve complex billing issues and discrepancies.
• Reporting: Generate and analyze billing and financial reports related to patient accounts and billing activities.
• Documentation: Maintain accurate and detailed records of billing activities and patient interactions.
• Support: Assist with other duties as assigned by the practice manager.

Qualifications:

· Experience: Minimum of 2-4 years of experience in medical billing or healthcare administration.

• Skills: Strong analytical skills, knowledge of EHR software and procedures, accounting and revenue cycle experience, and understanding of medical terminology and healthcare reimbursement procedures.
• Attributes: Excellent organizational and time-management skills, strong written and oral communication skills, attention to detail in handling patient records to prevent errors in maintaining patient accounts, and a problem-solving attitude.
• Education: High school diploma or equivalent; additional training or certification in medical billing is a plus. Advanced certifications or education in medical billing, coding, or healthcare administration is a plus.

Compensation:

• $19 to $23 per hour

Schedule:

• Full-time
• Monday to Friday, 8-hour shifts

Location:

• Tucker, GA 30084 (In-person)

Job Type: Full-time

Schedule:

• Monday to Friday

Application Question(s):

• This is an in-office position. Are you able to reliably commute to Tucker, Georgia during Monday through Friday?

Experience:

• billing support: 2 years (Required)
• Revenue cycle management: 2 years (Preferred)

Work Location: In person