Medical Billing Specialist

Description

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• 100 Percent ONSITE position in Livermore, CA- Please do not submit anyone looking for Part Time or a Remote/Hybrid Role
• Hours: PST 7:30am-4:00pm
• The position of Customer Accounts Specialist is within our Revenue Cycle Management located in Livermore, California.
• Medical Billing Insurance Collector/Customer Service.
• Candidates to start ASAP after clearing screenings In this role, you will be responsible for handling inbound calls regarding questions on billing statements, and the follow-up of outstanding patient balances.
• Working knowledge of billing, insurance and interpreting EOB’s is mandatory.
• The representative will be tasked to resolve unpaid accounts in a timely and efficient manner while maintaining quality and production standards set for the position

This job description will be reviewed periodically and is subject to change by management.

RESPONSIBILITIES:

• Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner.
• Handle a variety of inquiry categories including questions about patient statements, billing, and general questions.
• Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial insurances
• Ability to interpret Explanations of Benefits or Remittance Advice (EOB or RA).
• Able to explain a billing statement and methodology.
• Maintains accurate and complete records concerning collection activity on all accounts according to company procedures.
• Process requests quickly, accurately, and consistently with general supervision
• Submit adjustment / refund requests if needed.
• Keeps management informed of areas of concern and problems identified.
• Assists in monthly closing by assuring all appropriate information is entered into the system.
• Process credit card payments.
• Monitors hardship applications.
• Process correspondence, as assigned.
• Performs other related duties as assigned.
• Follows all HIPAA guidelines.

BASIC QUALIFICATIONS | EDUCATION:

• High school graduate or equivalent required
• Strong verbal and written communication skills
• Knowledge of Revenue Cycle Customer Billing
• Excellent oral and written communication skills preferred
• Detail oriented with a focus on exceptional customer service
• Strong time management skills and ability to manage individual assignments
• Ability to work in a team environment
• Strong attention to detail
• Requires the ability to work with and maintain confidential information

PREFERRED QUALIFICATIONS:

• Secondary education or Medical Certification
• Experience in the healthcare industry preferred
• Knowledge of customer relationship management (CRM) tools and related analytics desired

COMPETENCIES:

• Experience with Microsoft Office - Word, Excel, PowerPoint required
• Familiarity with performance metrics and ability to meet identified targets required
• Strong customer service skills and professional demeanor required
• Working knowledge of HIPAA and the Affordable Care Act;
• Must have an aptitude for problem solving and staff coaching/training;
• Must be able to communicate both written and orally in a business professional manner;
• Must possess the ability to effectively present information in one-on-one and small group situations to customers and other employees
• Must possess the ability to work in an environment of multiple concurrent tasks and constant interruptions
• Analytical skills are required