Medical Billing Specialist
At a glance
Location: US-TX-San Antonio Map
Posted: 04/09/2021
Closing: 05/08/2021
Degree: Not Specified
Type: Full-Time
Experience: Not Specified
Job description
  • Manages collection activities to maximize revenue to assure budgeted EBITDA results are achieved.
  • Payment posting and processing appeals and refunds are performed daily with close attention to detail to eliminate errors.
  • Coding and Billing are compliant and tasks are performed within NSH benchmarks.
  • Assures that business office systems are in place to maintain compliance with State, Federal, and accreditation standards.
  • Account management is performed according to NSH benchmarks and guidelines
  • Actively participates in achieving the monthly collection goals
  • Contacts carriers within 25 days to verify claim status and resubmission of claims as necessary
  • Contacts patient's as necessary to discuss financial responsibility
  • Turns over un-collectable accounts per policy
  • Knowledgeable of appeal/denial logs and process correspondence accordingly
  • Utilizes adjustment and refund journals in accordance with established guidelines
  • Participates in reducing cost of office supply usage resulting in cost effective operations of areas of responsibility.
  • Prepares weekly, monthly and other necessary reports in accordance with deadlines.
  • Analyzes aging and appeal reports and participates in the development and implementation of action plans as needed.
  • Participates in the fiscal management of the facility to assure effective billing, collection, appeals, and accounts payable management, in accordance with NSH benchmarks.
  • Ensures effectiveness of internal controls through following all general accounting principles.
Requirements & Qualifications:
  • Minimum 2 years experience in business office activities within a Healthcare environment
  • High School Graduate or Equivalent
  • Punctual and Self-Directed
  • Professional demeanor and ability to provide a high level of Customer Service
  • Strong verbal and written communication skills
  • Proficient computer skills: Microsoft Word, Excel, Outlook, Patient Accounting Systems
  • Proficient office equipment skills: Telephone, Fax, Scanner, and Copier
  • Understanding of Medical Terminology and Mathematical Calculations
  • Must be able to maintain confidentiality of patient, coworker, and facility confidentiality
  • Knowledge and understanding  of HIPAA regulations
  • Ability to work effectively with others and assist in areas that additional help is needed
  • Ability to multitask and handle stress

We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
Medical Billing Specialist