Medial Billing Specialist
The Medical Billing Specialist will be expected to pre-certify, discuss costs with patients, work with the field sales team, and bill the claims accurately and quickly. The individual will also process denials and appeals to assure collections.
Key Functions
Full range of medical billing (electronic and hard copy) and collections activity requiring fast and thoughtful action with great accuracy, and a sensitivity that the patient is the most important element of our customer base
Accurate and timely submittal of claims with VOB and pre-certification activity.
Verify patient benefits, and review benefits with patient
Obtain Pre-Certification’s and Post-Certification’s
Develop and maintain relationships with insurance companies and other third party payers
Work closely with patients to address payment questions and resolve collection issues
Work closely with management and field sales force as needed
Competencies
Detail orientated and dependable
Excellent patient communication and customer service skills
Knowledge of governmental regulations, including HIPAA, OSHA, and other compliance programs
Ability to be confident and persistent with third party payers to secure pre-certs and collect cash
Qualifications
Minimum of 2 years experience in medical billing and collecting
DME experience is preferred