Reviewing visit coding, posting charges, payments, and adjustments
Processing claims, working denials, customer service calls, working collections lists, maintaining related files and logs, and checking patient insurance eligibility
Processing of claims for reimbursement and ensuring all necessary documentation and attachments are included with claims
Interacting with physicians and administrators to coordinate communication of billable services to patients
Gathering and exchanging information necessary to ensure timely processing and reimbursement of claims and to promote maximum cash flow and reduce outstanding days in accounts receivable
Generating revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts
Collecting delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur
Utilizing collection agencies to collect accounts and determining the appropriateness of pursuing legal remedies
Educating patients on insurance questions, claims questions, and resolving issues
Securing payments by interviewing and obtaining information from patients, establishing payments due prior to sending monthly statements
Updating job knowledge by participating in educational opportunities
Following HIPAA and OSHA policies
Other duties as assigned

High School diploma or equivalent required
Minimum 2 years of medical billing experience required
Dermatology, surgical, or specialty practice billing experience preferred
Proficient in typing, spelling, punctuation, grammar, and oral communication
Ability to manage multiple priorities
Detail oriented
Ability to follow oral and written instructions
Strong computer skills
Ability to work well independently and as part of a team
Prior billing experience within a medical office/clinic preferred
Experience with patient registration, collecting payments and obtaining/verifying insurance information preferred
Ability to communicate calmly and clearly with patients and others on the phone and in-person
Ability to prioritize tasks effectively
Ability to navigate Practice Management and EHR systems

Medical Billing Specialist

Key skills