93 Medical Billing Specialist Jobs in San Antonio, TX
Sorry! This job is no longer available. Please explore similar jobs listed on the left.
PRMA Plastic Surgery is Hiring a Medical Billing Specialist Near San Antonio, TX
PRMA is seeking a full-time Medical Billing Specialist for our office in San Antonio, TX.
Position Summary: The Billing Specialist is responsible for all aspects of billing for the assigned surgeons while following departmental processes, policies and protocols.
- Answer departmental calls from office staff, insurances and patients. Voicemails and emails are to be returned within 24 hours.
- Communicate and assist Billing Team and other departments as needed within PRMA.
- Comply with legislative changes regarding all commercial and government insurance carriers.
- Print and read operative and procedure reports from the hospital portals and/or Nextgen. Enter charges into MOMSAT per the specific insurance contract taking into account all coding rules, insurance guidelines and departmental protocol.
- Mark completed surgeries as 'kept' in Nextgen and add appropriate Global Alert.
- Post insurance and patient payments into the MOMSAT system as received. Update collection alerts in Nextgen when necessary.
- Validate and refer all patient refunds to Revenue Cycle Manager and/or Administrator for processing.
- Validate and appeal incorrectly processed insurance claims and/or denials per the insurance policy. Appeal violations of Texas Prompt Pay Senate Bill 418.
- Respond to insurance requests for medical records in a timely manner. Notate MOMSAT per the particular claim the request corresponds to.
- Follow up on all accounts per the Billing Department process and procedures.
- Enter new insurance carriers into MOMSAT and Nextgen.
- Update patient demographics and insurances as needed.
- Calculate and notate patient responsibilities in MOMSAT and Nextgen systems, as well as advise patients of upcoming financial liabilities via email, mail or phone.
- Arrange payment plans and/or assist with financial assistance grants with patients as necessary.
- Review patient balances each mid-month, making contact with patients who have delinquencies.
- Following departmental rotation, on the first business day of each new month, print and review the schedule of office procedures and surgeries for those patients with Medicaid and Medicaid MCO insurance policies. Verify eligibility and notify patients and scheduling for those with issues effecting the schedule.
- Following departmental rotation, every Thursday, print, review and reverify insurance benefits, eligibility and authorizations for all preoperative appointments with scheduled surgeries and office procedures. Notify patients of any increased financial responsibilities. Communicate issues to appropriate department.
- Maintain communication with all departments regarding any abnormal patient insurance/scheduling conflicts. Follow thru until resolution is complete.
- Following departmental rotation, complete all daily and monthly closing functions. (See Billing Manual).
- Print and review the daily appointment schedule to verify all preoperative, out of state 2 day, nicotine and office procedure appointments have been notated and/or updated collection notes.
- Complete tasks and projects as assigned by RCM or Administrator.
- Required - High School Diploma or GED
- Preferred - College Graduate
- Preferred - Field of study in Accounting or Finance
- Required - 2-3 years experience in Medical Billing
- Preferred - Experience with MOMS AT System and Nextgen EMR
- Preferred - Bilingual
Job Summary
Full Time
$37k-44k (estimate)
04/13/2023
04/17/2024
prma-enhance.com
San Antonio, TX
<25
Related Companies
The job skills required for Medical Billing Specialist include Billing, Medical Billing, Accounting, Scheduling, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Billing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Billing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Billing Specialist positions, which can be used as a reference in future career path planning. As a Medical Billing Specialist, it can be promoted into senior positions as a Medical Billing Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Billing Specialist. You can explore the career advancement for a Medical Billing Specialist below and select your interested title to get hiring information.
Similar Jobs
Popular Articles
