Medical Billing Specialist

Medical Billing Specialist

Job Description

The position of Customer Accounts Specialist is within our Revenue Cycle Management. 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.

Position Overview:
This role is part of our Revenue Cycle Management team.
Associate will mainly be reviewing patient accounts, verifying balances, reviewing patient statements & EOB’s and dealing with patient collections.

For reference, the primary responsibilities for these positions would include:
Patient statement review; Reviewing the statement of account, including EOB, checking for accuracy, entering information.
Patient Collections to CCS review-
Patient credit balance review
Phone queue assistance, including outbound and inbound calls. Within the Patient Collections, most calls will be outbound.
Handling inbound calls related to billing statement inquiries
Following up on outstanding patient balances
Interpreting EOBs (Explanation of Benefits)
Resolving unpaid accounts efficiently while meeting quality and productivity standards

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

Required Skills:
Strong medical billing and insurance knowledge
Experience with customer service/collections in a healthcare setting
Ability to interpret EOBs
Must have previous experience working in a billing/customer service call que.
Excellent communication and problem-solving skills

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

Notes:
100% onsite
Daytime hours: Monday–Friday

VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.