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Medical Billing / Accounts Receivable Specialist
Rehmann
Farmington Hills, MI, United States
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Healthy Urgent Care in West Bloomfield, MI, has an opening for a full-time Medical Billing/Accounts Receivable Specialist.
Healthy Urgent Care provides compassionate care and all the comforts of home. Our goal is to offer quality care and services that set community standards, exceed patients’ expectations in a caring, convenient, cost-effective and accessible manner.
Responsibilities:
The Medical Billing/Accounts Receivable Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections. Using initiative to research problems and determine correct action steps to resolve eligibility, billing and account problems. Maintains effective communication and working relationship with all company personnel, demonstrates leadership and analytical abilities.
• Ensure timely, accurate and efficient processing and submission of all electronic and paper claims/invoices to funders.
• Perform insurance eligibility; correctly utilize ICD-10 diagnosis codes, CPT/HCPC codes and modifiers to ensure accurate and timely payments.
• Ensure compliance with billing practices, policies and procedures by leveraging strong knowledge of the policies and rules stipulated by Medical Assistance, Managed Care, Third Party, Auto Liability, Private Pay and various Occupational Med clients.
• Track and report changes that may impact reimbursement.
• Accurate posting of payments in the billing system to appropriate accounts on a timely basis.
• Identify and resolve unpaid claims and report issues to supervisor.
• Weekly monitoring and monthly reporting on the status of accounts receivable over 30 days old, provide details of collection efforts and issues with securing reimbursement.
• Perform collection actions including contacting funders, clients and guarantors by phone, email, and mail.
• Provide exemplary customer service to external and internal clients.
• Work collaboratively with other departments and programs to gather and provide information on authorization and eligibility issues.
• Demonstrate a strong commitment to performance accountability.
• Attend relevant seminars and training sessions to improve knowledge, skills and performance.
Experience and Skills:
• Must have a minimum of 3 years’ experience as a medical biller.
• User knowledge of ICD-10, CPT, HCPCS codes and claim regulatory guidelines.
• Must have experience entering demographics, posting charges and payments.
• Must have ability to explain complex billing and account information to patients and other administrative staff
• Must have experience obtaining benefit information from various commercial and governmental insurance plans.
• Possesses strong written/verbal communication and listening skills; proactively-communicates and can comfortably and effectively communicate.
• Strong ability to multi-task phones, peers, and miscellaneous tasks as needed with strong problem-solving skills.
• Dependability, independent work ethic, and punctuality are a must.
• Regular and reliable attendance.
Education
• High School Diploma required
• Certification preferred in one of the following; CPC – Certified Professional Coder or CPB – Certified Professional Biller
• Significant prior revenue cycle management and governmental payer requirements and regulations
• Working knowledge of Allscripts Pro, Payerpath, MS Office, and databases.