What are the responsibilities and job description for the Billing Specialist position at PRMA Plastic Surgery?
Join Our Team as a Billing Specialist at PRMA!
Are you a detail-oriented, experienced medical billing professional ready to make a significant impact in a thriving healthcare environment? PRMA is seeking a Billing Specialist to manage and streamline billing processes for our surgeons, ensuring accuracy, efficiency, and compliance with insurance guidelines.
In this role, you’ll work closely with our team and collaborate with various departments to process claims, manage payments, and resolve billing issues. Your expertise will help PRMA maintain its high standards of patient care while ensuring smooth revenue cycle operations.
If you have a strong background in medical billing, excellent communication skills, and thrive in a collaborative, fast-paced environment, we’d love to hear from you!
Why Join PRMA?
- Work with a compassionate, professional team dedicated to providing top-quality patient care.
- Gain experience with cutting-edge systems like MOMS AT and ModMed.
- Enjoy a collaborative work environment where your expertise and initiative are valued.
Apply now to bring your billing expertise to PRMA and be part of our dedicated team!
Position Title: Billing Specialist
Immediate Supervisor: VP of Operations
Position Summary: The Billing Specialist is responsible for all aspects of billing for the assigned surgeons while following departmental processes, policies and protocols.
Responsibilities:
All responsibilities and duties relate to the billing specialist’s assigned surgeon(s) unless otherwise specified.
Answer department 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 ModMed. 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 ModMed when necessary.
Validate and refer all patient refunds for processing.
Validate and appeal incorrectly processed insurance claims and/or denials per the insurance policy.
Respond to insurance requests for medical records in a timely manner. Notate MOMSAT per the particular claim the request corresponds to.
Enter new insurance carriers into MOMSAT and ModMed.
Update patient demographics and insurances as needed.
Calculate and notate patient responsibilities in MOMSAT and ModMed 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, 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 through until the resolution is complete.
Verify surgical benefits and enter into ModMed chart for all scheduled surgeries and office procedures.
Print and review the daily appointment schedule to verify all preoperative and office procedure appointments have been notated and/or updated collection notes.
Complete tasks and projects as assigned by Administrator.
Job Type: Full-time
Pay: $18.00 - $24.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Retirement plan
- Vision insurance
Application Question(s):
- Do you have experience with MOMS AT System and Nextgen EMR?
Education:
- High school or equivalent (Required)
Experience:
- Medical billing: 2 years (Required)
Language:
- Spanish (Preferred)
Ability to Commute:
- San Antonio, TX 78240 (Required)
Work Location: In person
Salary : $18 - $24