Billing and Collections Specialist
Full Time
Las Cruces, NM 88001
Posted
Job description
Do you have a passion for making a difference in the lives of others? Do you want to join a team with that same passion? Are you someone who sets and achieves goals? Do you want to work for a dynamic, patient care organization that is committed to the health and wellness of individuals of all ages? FYZICAL Therapy and Balance Centers is in search of a
Billing and Collections Specialist for a growing Physical Therapy practice.
GENERAL SUMMARY OF DUTIES AND KNOWLEDGE: Candidates must have knowledge in all aspects of AR/billing on an EMR system to include electronic filing, denials, EOB, navigation of insurance websites, printing paper claims for Worker's Compensation and Auto carriers, aging of accounts, printing patient statements and posting payments from insurance companies via paper and electronic methods. Knowledge of medical billing and an understanding of Medicare, Medicaid, HMO plans and commercial insurances both Texas and NM. Candidates must project a warm, enthusiastic and friendly demeanor in client and team member interactions.
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
- Review patient bills for accuracy and completeness, and obtaining any missing information
- Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
- Following up on unpaid claims within standard billing cycle time frame.
- Work credit balances
- Follow up on all unpaid claims and aging A/R items.
- Calling insurance companies regarding any discrepancy in payments if necessary.
- Setting up patient payment plans and work collection accounts.
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
- Working under pressure and multi-tasking
- Submitting insurance appeals and re considerations
- Responds immediately to requests for information or notices of rejection and/or denial e. Arranges for payment schedules with patient and/or caregiver for payment of patient’s portion.
- PC Skills – Demonstrates proficiency in Microsoft Office (Excel, Word, and Outlook) applications.
- Knowledge of commercial, Medicare, Medicaid, HMO/PPO, Tricare insurance operating procedures and contracts in Texas and NM.
- Excellent verbal and written communication skills.
- Organizational skills to effectively process all claim data.
- Time management and self-motivation.
- Accountability for work performance and exceed company expectations.
- Must have a minimum of 2 years of experience working in medical billing.
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