What are the responsibilities and job description for the Billing Specialist position at MedBest Medical Management, Inc.?
Company Description MedBest Medical Management, Inc. is affiliated with and supports the SUNY Upstate Medical University health system, focusing on professional and physician practice revenue and staffing needs within an academic medical center environment. The organization provides seasoned expertise in compliance, accounting, insurance enrollment, revenue cycle, and staffing support that directly contributes to Upstate’s mission to improve community health through education, biomedical research, and patient care. Team members benefit from working in a collaborative setting that supports both clinical and administrative excellence. MedBest’s commitment to recruitment and retention drives ongoing growth and creates opportunities for long-term, rewarding careers. Candidates are encouraged to explore the diverse roles available and contribute to a mission-driven healthcare organization.
Position Summary: Primary duties involve charge posting, payment posting and accounts receivable follow-up. Duties also include related clerical support.
Position Summary: Primary duties involve charge posting, payment posting and accounts receivable follow-up. Duties also include related clerical support.
Position Accountabilities:
1. Enter daily charges.
2. Research charge, diagnosis, and insurance information to ensure
accuracy within billing practice guidelines.
3. Enter daily payments, adjustments and determine correct balance
according to insurance carrier payment agreements.
4. Complete all correspondence in a timely manner.
5. Maintain various files and records to ensure charge capture.
6. Process all third party insurance forms to carriers.
7. Cooperate and maintain an open forum of communication with
patients, co-workers, clients, outside business representatives
and Supervisor.
8. Balance accurately all monies received and applied.
9. Follow through on all accounts from aged reports.
10. Advise Supervisor of denials caused by technical problems,
billing specs, codes, etc., and any other intra-office issues.
Submit documentation to support.
11. Run a daily audit for charge or payment/adjustment balancing.
12. Review credit balance accounts and make necessary adjustments.
13. Review accounts to send to collection.
14. Performs other duties as assigned/requested.
Position Qualifications (minimum):
Education (including license, registration, and/or certification if applicable):
High School education or equivalent.
Experience:
One year of clerical support, preferably in a medical billing setting. Knowledge of medical terminology preferred.
Knowledge, Skills, Abilities required:
Must be able to work independently with speed and accuracy. Must be sensitive to confidential information. Must maintain professional and courteous contact with patients, insurance carriers and co-workers.
Working Conditions/Physical Demands (quantified):
Normal office conditions. Must be able to sit for prolonged periods of time. Extensive keyboard use is required. Ability to use a telephone and fax with proficiency. May be required to lift up to 50 pounds.
Alternative to Minimum Qualifications:
Will consider an equivalent combination of education and experience.
The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.
The job description does not constitute an employment agreement between the employer and employee, and is subject to change by the employer as the needs of the employer and requirements of the job change.