Lone Star Circle of Care

Billing Specialist (Georgetown)

US-TX-Georgetown
2 weeks ago
# of Openings
1
Category
Administrative/Corporate Support

Overview

Lone Star Circle of Care (LSCC) is an equal opportunity employer and a member of E-Verify.  All qualified applicants, including minorities, women, veterans, and people with disabilities are encouraged to apply.

 

The Billing Specialist follows patient accounts through the entire billing process after charge entry to completion of payment process. Performs functions as related to medical billing and collection processes by following up on outstanding claims, submitting appeals, researching eligibility and benefits, posting insurance and patietn payments when applicable, discussing and collecting patient balances and assisting clinic sites with billing questions. The Billing Specialist directly affects the unit of clinic profitability by following up for payment of previously coding visits and procedures. This position has the authority to negotiate payment settlements for patients or with insurance companies and authorized patient discounts within the policy and procedure guidelines.

 

The incumbent resolves issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues.

Responsibilities

  • Contacts patients and insurance companies for payments requests, overdue payments, denied claims and arranges payment plans.
  • Contacts insurance companies for explanation of benefits, pre-authorization denials and to resolve claim issues
  • Produces reports to reduce age trial balances by contacting patient for collection or sending secondary claims
  • Provides customer service to patients by educating them on insurance policies, billing procedures and coding issues.
  • Calls patients and insurance companies to follow-up with account information.
  • Post Daily when applicable
  • Post Electronic Remittance Advice when applicable
  • Pull Explanation of Benefits when necessary
  • Confirm and communicate all payments are posted and balanced to Accounts Receivable Manager at Month End
  • May provide training to others on billing procedures and practices.
  • Other duties as assigned.

Qualifications

Knowledge, Skills and Abilities:

  • Thorough knowledge of entire billing process to include CPT and ICD 10 coding.
  • Able to understand and follow directions.
  • Capable of communicating effectively with patients and the health care team, including the ability to explain billing procedures to patients.
  • Able to establish and maintain effective working relationships with the public and health care team.
  • Must respect the confidential nature of medical information.
  • Working knowledge of standard concepts, practices, and procedures.
  • Capable of following established departmental procedures.
  • Capable of using experience and judgment to plan and accomplish goals.
  • Good computer skills and a working knowledge of Microsoft Office.
  • Able to read and interpret documents such as charts, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
  • Proficiency in the use of basic math skills.
  • Professional manner and appearance.
  • Ability to function in a fast paced environment.

Experience, Education and License:

  • Requires a minimum of a high school diploma or GED.
  • At minimum, 2 years of medical billing experience and/or 2 years of electronic medical records experience required (NextGen experience preferred).

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