Medical Billing Specialist

Position Title:    Medical Billing Payment Poster and Collections Specialist 

Supervisor:        Billing Office Manager 

FLSA Status:       Non-Exempt

Mission:

To provide our patients and community the most innovative and breakthrough treatment options to improve overall health and wellness.

Values:

Patient Experience

Innovation

Integrity

Teamwork

Job Summary:

The Medical Billing Payment Poster and Collections Specialist supports the business office by collecting and posting payments from insurance companies who have unpaid claims as well as helping collect patient balances. The Medical Billing Payment Poster and Collections Specialist task list includes, but is not limited to:

• Posts insurance payments and remit information from incoming EOBs onto patients’ accounts for previous dates of service.
• Appropriately identifies and processes adjustments. Reviews and responds to payment information associated with Explanation of Benefits or Remittance Advice documents by composing denial tasks in worklogs to the Medical Claims Specialists.
• Enters posted batch information into the EFT log.
• Navigates payer portals to be able to find missing EOB’s.
• Runs unapplied payments reports and learns to apply account and encounter payments to balances, as well as payment transfers.
• Contacts patients directly to discuss outstanding balances due, process payments, and set up payment plans.
• Answers incoming calls routed to the Billing Office to answer patients’ questions regarding balance and insurance questions.
• Collaborates with Medical Claims Specialist(s) and Eligibility Specialist(s) for information patients are requesting regarding coverage.

• Provides excellent customer service.
• Completes any additional tasks deemed necessary.

Supervisory Responsibility:

• This position has no supervisory responsibilities.

Qualifications:

• High School Diploma or GED required. Post-secondary education strongly preferred.
• Minimum of one year of medical office experience relating to insurance payment posting and/or patient collections of medical bills required.

Skills & Abilities:

• Good writing, analytical, and problem-solving skills.
• Attention to detail while processing high volumes of information is necessary.
• Ability to effectively interpret EOB information and apply it towards outstanding charges.
• Ability to assist in answering phone calls and returning voicemails.
• Ability to effectively communicate and prioritize duties.
• Ability to operate standard office equipment.
• Strong computer skills relating to EHR systems.
• Ability to work well whether independently or as part of a team.
• Knowledge of principles and practices of basic office management and organization.

Work Environment:

While performing the duties of this job, the employee regularly works in an office setting.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

While performing the duties of this job, the employee is occasionally required to walk; sit; use hands to grasp or handle objects, tools, or controls; reach with hands and arms; stoop, kneel, or crouch; talk or hear. Employee must be able to sit for at least 80% of time and stand for up to 20% of time. The employee must occasionally lift or move up to 20 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Compensation & Work Schedule:

• Full-time: 40 hours/week
• Non-Exempt
• Day Shift: Monday - Friday
• No evenings or weekends
• A competitive benefits package including medical, dental, vision, disability, and life insurance, 401(k) plan, paid time off, paid holidays, and HSA plan is offered.

Salary : $23 - $24