Job Summary

The Billing Specialist is primarily responsible for assisting the Billing Specialists with their day-to-day needs. They are secondarily responsible for interacting with insurance companies and patients, in an effort to collect monies for services performed should it be necessary. Interaction will include email, phone calls, paper/electronic correspondence, and online use of payer tools.

Summary of Essential Job Functions

• Completes payment entry in a timely and accurate manner which entails:

o Post payments to practice management system.

o Balance batches and run transaction payment reports.

o Records batch totals with date and initial on payment receipt spreadsheet.

o Identifies any payment not being paid at the allowed/contracted amount and communicates this to the appropriate billing representative.

o Properly communicates and documents payment denials in the practice management system and to the appropriate billing representative in a timely manner.

• Cross trained to provide coverage in charge entry.
• Batches patient statement electronically on a weekly basis.
• Creates invoices for attorney fees and communicates with physician office upon receipt of payment.
• Maintains professional knowledge regarding medical billing and coding procedures, insurance carriers, federal programs, etc.
• Works with the Billing Department to send out medical records and patient statements.
• Ensures the accuracy of documents submitted.
• Communicates effectively with carriers to submit necessary documentation for payment of claim.
• Makes calls to carriers and patients regarding the status of claims and payment if necessary.
• Assists in accounts receivables and billing for the company to ensure timely processing of all A/R transactions and new claims.
• Responsible for collections of all Accounts Receivable and tracking of A/R Aging.
• Resolves issues related to incorrect billings and any disputes raised by the customer.
• Ensures all receivables are collected promptly and applied to customer accounts accurately.
• Reviews status of delinquent accounts and initiate collection activity.
• Researches and resolves disputed delinquent account balances.
• Manages and maintains positive relations with customers.
• Works closely with other departments and groups to resolve issues and exceed client service expectations.
• Maintains accurate customer files, keep track of name changes, address changes and mailing attention for all accounts.
• Responsible for documenting all correspondence with insurance, client, and/or insurance to record.
• Prepares and sends Medical Record to insurance.
• Communicates effectively with carriers to submit what is necessary for payment.

Required Education and Experience

• Degree in Business Administration or equivalent experience as Medical Billing Collections; or equivalent combination of education and experience.
• At lease one year of healthcare billing experience preferred.
• Data entry experience preferred.
• Intermediate level knowledge of Microsoft Office applications (Word, Excel, Outlook).

Skills and Competencies

• Previous payment posting experience preferred but not required.
• Must possess the ability to communicate with people at all levels of the organization, patients and external agencies.
• Must be open, agreeable and professional when gathering and referring information to the appropriate member of the team.
• Must have the ability to work within tight deadlines and prioritize conflicting demands whilst working effectively.
• Must have the ability to listen actively when spoken to and effectively communicate their thoughts to others.
• Must have the ability to work alone but also in a team, with fellow staff, in the business setting.
• Must possess good time management skills.
• Must actively seek to accomplish tasks and be able to use a variety of methods and ideas to solve problems when needed, seeking advice, and/or guidance from fellow employees.

Working Conditions

• Work in Company’s office located in Irvine, California.
• Must work in office: Monday – Friday from 8:30 AM to 5:00 PM.

Job Type: Full-time

Pay: $18.00 - $21.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No nights
• No weekends

Ability to Commute:

• Irvine, CA 92618 (Required)

Work Location: In person