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Clinic Billing Specialist
1701 Renaissance Blvd Ste 110 Edmond, OK 73013 US
Job Description
Job Summary:Â
The candidate for this role reviews billing data from medical office records to ensure amounts and account numbers are accurate, responsible for account posting, collections, and verifying patient benefits. He/she will be responsible for accurate diagnosis and procedure coding. Â
 Essential Functions:
- Responsible for verifying and posting charges.
- Responsible for posting and monitoring payments from patients.
- Answers patient questions regarding their accounts and insurance coverage.
- Contacts insurance companies to verify medical insurance coverage for patient and to obtain information concerning extent of benefits. Determine patient’s payment responsibility for procedures.
- Research and correct all insurance denials.
- Identify delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third-party payers.
- Perform various collection actions including contacting patients by telephone and/or letter and resubmitting claims to third-party payers.
- Evaluate patient financial status and establish payment plans. Follow and report status of delinquent accounts.
- Review accounts for possible assignment to collection agency or other account determination.
- Oversee claim processing to include audits and review of claim payments for accuracy and compliance with contracts.
- Help patients with Patient Assistance programs.
- Responds to patient/payer inquiries in a timely manner
- Follows up on unpaid or improperly paid claims as necessary
- Reviews and monitors select accounts within the accounts receivable
- Ensure patient confidentiality and follow HIPAA guidelines.
- Promote a professional image by adhering to the established dress code as listed in Employee Handbook.
- Check and resolve assigned tasks in EMR program.
Knowledge:
- Â Knowledge of medical billing and collection practices.
- Â Knowledge of basic medical coding.
- Â Knowledge of third-party payer operating procedures and practices.
- Â Knowledge of Medicare requirements.
