The Billing Specialist is responsible for follow-up on rejected claims; assist patients with account questions demonstrating caring and compassion through verbal and written communications; review accounts that have a balance in which the patient is responsible in order to determine collection status; identify credits on accounts; maintain the billing for McLeod Physician Associate physician offices for which Physician Billing is responsible.
Openings in: Florence, Manning and Loris/Seacoast)
Provides assistance to patients, insurance company representatives, collection agency employees and other staff members with account questions or problems related to patient or third party payments, rejections, adjustments, collections, financial status, etc. Works all rejected or unpaid claims. Verifies and documents insurance information in patient accounts on the computer system as required by the third party payer for each patient. Ensures that entire office staff has all the information necessary to treat, collect payment, etc. on each patient for each visit. Validates the accuracy of patient information so that future billing and follow-up activities are conducted effectively and to assure a high degree of patient (customer) service. Assures that any adjustments and write-offs to accounts are done according to office policy and procedure.
80 hours biweekly as scheduled
High school diploma or equivalent. Associate degree preferred.
At least 3 years experience in a computerized physician office or hospital setting in the area of insurance, billing and reimbursement. Thorough knowledge of regulations relating to Medicare, Medicaid and commercial insurance. Complete understanding of managed care treatment and payment guidelines. Coding experience/certification preferred.