Medical Billing Specialist

Job Description

• Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.
• Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal remedies; testifying for the hospital in court cases.
• Maintains medicare bad-debt cost report by tracking billings; monitoring collections; compiling information.
• Maintains work operations by following policies and procedures; reporting compliance issues.
• Maintains quality results by following standards.
• Maintains confidentiality of member and patient related business.
• Follows established department/organization policies and procedures.
• Documents concisely, precisely, and accurately on all documents as indicated by department processes and organizational policies.
• Develops and maintains an effective working relationship with members, patients, insurance companies and staff.
• Maintains and increases standards of performance and education.

Knowledge,

Skills and Abilities

• Proficient knowledge of phone systems, the 10 key calculator, facsimile processes, computers, copiers, scanners, Microsoft Outlook, Word and Excel.
• Language/Communication skills: must be able to read and interpret medical record documentation, and policy and procedures.
• The ability to work concurrently on multiple projects with varying priorities. Works well under pressure and within deadlines, and gives great attention to detail.
• Patient and Personal Service. Knowledge of principles and processes for providing patient and personal services. This includes patient needs assessment, meeting quality standards for services, and evaluation of patient satisfaction.
• Reading Comprehension. Understanding written sentences and paragraphs in work-related documents. The ability to read and understand information and ideas presented in writing/type.
• Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Ability to work independently/self-motivated, highly organized.
• Time Management. Managing one’s own time and the time of others. Ability to be flexible with schedules and duties; including, willingness and ability to work overtime.
• Excellent judgment and creative problem solving skills. Self-reliant, good problem solver, results-oriented.