Medical Billing Specialist

  • location: Atlanta, GA
  • type: Contract
  • salary: $22 per hour
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job description

Medical Billing Specialist

job summary:
Medical Billing Specialist

Job Summary

The PFS Collector is responsible for handling hospital billing and collection activities in the Patient Financial Services Aged Receivable Unit -Atlanta Office. The primary purpose of this position is to resolve aged patient accounts in an efficient and timely manner. The position works in a cooperative team environment to provide value to internal and external customers.

Responsibilities

  • Perform billing/collection functions relevant to the Patient Financial Services area in a manner that consistently meets or exceeds a score of 95% in key performance criteria to be measured by Quality Assurance audits
  • Maintain thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections
  • Perform hospital billing and rebilling functions as appropriate and exhibits extensive knowledge of all bill forms and filing requirements
  • Identify and resolve problems and make recommendations for process improvements that will benefit PFS
  • Continually seek to understand and act upon customer needs, concerns and priorities
  • Meet customer expectations and requirements and gain customer trust and respect
Qualifications

  • Minimum 3 to 5 years RECENT (within last 2 years) Patient Financial Services experience in collection, billing, follow-up.
  • Demonstrate ongoing enthusiasm and commitment to the work assigned
  • Ability to recognize and identify payer trends and communicate effectively to PFS Leadership Team
  • Demonstrate an excellent understanding of benefits requirements, on-line claims status, submission, and reconciliation procedures Proficient in understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filings
  • Demonstrate the ability to work independently, perform duties and make decisions with minimal supervision
  • Understanding of Coding requirements
  • PFS System applications and MS Office Applications
  • Medicare, Medicaid, Managed Care and Commercial Insurance/Self-Pay and Third Party regulations and outcomes.
  • Strong working knowledge of current patient accounting and claims editing applications in a hospital environment.
  • Demonstrates success working in a team environment focused on meeting organization goals and objectives required.
  • Familiarity with hospital/physician billing systems: Epic, Meditech, Cerner, Siemens/SMS, DDE, SSI
  • Knowledge of work?ow tools and ability to incorporate tool to prioritize accounts for maximum return
  • Previous experience with numerous payor types to include, Government (Medicare/Medicaid) Government Managed Care, and Commercial for both Physician and Hospital collections, LTAC and SNF accounts*
  • Familiar with current CPT and ICD-¬?10 procedure codes.
  • Strict adherence to HIPAA security and privacy practices
 
location: Atlanta, Georgia
job type: Contract
work hours: 8 to 5
education: Associate's degree
experience: 3 Years
 
responsibilities:
Responsibilities

  • Perform billing/collection functions relevant to the Patient Financial Services area in a manner that consistently meets or exceeds a score of 95% in key performance criteria to be measured by Quality Assurance audits
  • Maintain thorough and detailed knowledge of collection laws and third party payer claims processing and ensures compliance with state laws regarding all cash processes as evident through cash collections
  • Perform hospital billing and rebilling functions as appropriate and exhibits extensive knowledge of all bill forms and filing requirements
  • Identify and resolve problems and make recommendations for process improvements that will benefit PFS
  • Continually seek to understand and act upon customer needs, concerns and priorities
  • Meet customer expectations and requirements and gain customer trust and respect
 
qualifications:
Qualifications

  • Minimum 3 to 5 years RECENT (within last 2 years) Patient Financial Services experience in collection, billing, follow-up.
  • Demonstrate ongoing enthusiasm and commitment to the work assigned
  • Ability to recognize and identify payer trends and communicate effectively to PFS Leadership Team
  • Demonstrate an excellent understanding of benefits requirements, on-line claims status, submission, and reconciliation procedures Proficient in understanding of state insurance laws and the various appeals processes including but not limited to Insurance Commission filings
  • Demonstrate the ability to work independently, perform duties and make decisions with minimal supervision
  • Understanding of Coding requirements
  • PFS System applications and MS Office Applications
  • Medicare, Medicaid, Managed Care and Commercial Insurance/Self-Pay and Third Party regulations and outcomes.
  • Strong working knowledge of current patient accounting and claims editing applications in a hospital environment.
  • Demonstrates success working in a team environment focused on meeting organization goals and objectives required.
  • Familiarity with hospital/physician billing systems: Epic, Meditech, Cerner, Siemens/SMS, DDE, SSI
  • Knowledge of work?ow tools and ability to incorporate tool to prioritize accounts for maximum return
  • Previous experience with numerous payor types to include, Government (Medicare/Medicaid) Government Managed Care, and Commercial for both Physician and Hospital collections, LTAC and SNF accounts*
  • Familiar with current CPT and ICD-¬?10 procedure codes.
  • Strict adherence to HIPAA security and privacy practices
 
skills: AR Billing
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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