Lutherville Medical Back Office Position

POSITION SUMMARY

The Billing & Insurance Specialist is responsible for filing insurance claims, including online claims, submitting appropriate information to the insurance carriers and requesting third party prior authorization as needed. This position will closely track the status of submitted claims and patient payments. The Billing & Insurance Specialist acts as back up for the Front Office Staff and may greet customers, answer the phones, schedule appointments, complete administrative processing and recordkeeping.? The position supports the mission of the clinic by demonstrating excellent customer care and incorporating sound financial management.

This position does not include any supervisory responsibilities.

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JOB FUNCTIONS

Medical Billing

Processes and files insurance claims, including online claims, submitting appropriate information to the insurance carriers, and requests third party prior authorization as needed in a timely manner.? Insurance claims must be transmitted several times weekly.

Tracks on-line insurance claims weekly.

Performs daily benefit checks for new and existing patients by working with insurance, or other agencies to facilitate authorizations and benefit verification.

Assists patients with insurance related problems, questions, or concerns.

Maintains and updates existing contracts with insurance carriers.

Responds to patient correspondence and resolves billing questions.

Coordinates and communicates with patients on payment plans in accordance with the practice?s financial policy and research patient credit information as necessary.

Verifies and inputs clinical charges/documents for patients into in-house billing system.

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Customer Service?

Retrieves phones messages and prioritizes return phone calls.

Greets and assists/directs customers who come to the practice.?

Answers incoming calls and guides customers to the appropriate service.

Distributes and obtains appropriate forms, including new patient information, insurance information, and HIPAA information for all customers.

Schedules all appointments.

Prepares pulls and files client charts on a daily basis.

Confirms hearing aids and ear molds are ready prior to client appointment.

Confirm the next day appointments.

Tracks referral source for all customers.

Answers Medicare, private insurance, and other insurance questions for customers.

Handles written correspondence for the owner as requested.

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Miscellaneous duties

Completes all insurance filing.

Prepares daily, weekly and monthly reports as directed.

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JOB SKILLS, KNOWLEDGE AND ABILITIES

Must be high school graduate.? Prefer sales or customer oriented field or equivalent work experience.

Excellent interpersonal skills that allow effective working relationships with a diverse customer, colleague, and vendor population.? This includes listening, sales, and problem solving skills.

Must be able to organize time and prioritize numerous duties within strict deadlines.

Requires the ability to deal with numerous interruptions.

Must deal with customers in a caring and respectful manner.

Must be detailed oriented. JOB SKILLS, KNOWLEDGE AND ABILITIES:

Associates Degree or Bachelor’s degree in Accounting, Finance, Business or related field.

Accomplished accounting and QuickBooks skills.

Two plus years experience in accounting, preferably with QuickBooks experience.

Proficient in Microsoft Office, with advanced knowledge of Excel and QuickBooks.

A professional presence and outstanding presentation skills.

Adept at multi-tasking in a fast-paced environment.

Excellent interpersonal skills that allow effective working relationships with a diverse population.

Passion for working in a growth-oriented field, with the ability to demonstrate personal commitment and drive to set and exceed high standards is a plus.