What are the responsibilities and job description for the Medical Billing Specialist - Hybrid/Remote position at Graham Allen Partners Career Center?
Position Overview:
Our Billing Specialists are responsible for answering patient inquiries, reviewing outstanding or denied insurance claims, submitting insurance appeals, and maintaining assigned accounts receivables per clinic policies.
Essential Duties & Responsibilities:
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Assist in the processing of insurance claims including worker’s compensation (if assigned) for all financial classes
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Communicate with insurance companies to ensure that claims are paid; identify and correct account and/or insurance error; and post all actions and maintain permanent record of patient accounts
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Oversee claims appeals and reviews; review claims aging status and follow up on open claims
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Answer patient questions, inquiries, and concerns regarding their accounts; verify balances and refunds for accuracy
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Understand, and stay up to date with, clinic and insurance industry contract policies/ procedures and medical terminology
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Participate in professional development efforts to stay current with health care best practices and trends
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Actively participate in the company’s efforts to create innovative data and analytics solutions for the modern orthopedic business office
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Other duties as assigned
Required Skills:
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High school diploma or equivalent, college courses or certificate preferred
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Excellent communication skills, especially phone skills, that encourage the establishment and maintenance of cooperative, positive relationships with both internal and external stakeholders (patients, physicians, colleagues, etc.)
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Ability to efficiently gather, organize, and comprehend insurance information, including contracted fee schedules
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Proficient computer skills with a demonstrated ability to navigate and comprehend computer software systems in an office setting, prefer 50wpm typing skill
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Knowledge of, or a demonstrated capacity to learn, insurance industry practices and medical terminology in a clinic setting
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Strong analytical skills and a demonstrated desire to be part of building innovative solutions that challenge the status quo
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Ability to learn quickly and contribute ideas that make the team, processes, and solutions better
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Share our values: resilience, altruism, communication, achievement, and determination
Preferred Skills:
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Two years of billing experience in a hospital and/or surgical setting