Medical Billing Specialist

Location: North Charleston, SC

GENERAL STATEMENT OF DUTIES: Provide excellent customer service to patients and their families; Responsible for collecting, posting and managing account payments. Responsible for submitting clean first time claims and follow up with insurance companies on denials.

REPORTING RELATIONSHIP: Billing Manager

SUPERVISORY RELATIONSHIP: Yes

Typical Physical Demands: Position requires full range of body motion, as well as manual and finger dexterity and hand-eye coordination. Employee will occasionally be asked to lift files or paper weighing up to 30 pounds. Job duties require the ability to sit/stand for long periods of time. Employee will work under stressful conditions and work irregular hours from time to time. Position requires manual dexterity sufficient to operate a keyboard, operate a computer, telephone, calculator, copier, and such other office equipment as necessary. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contact. Position also requires viewing computer screens and typing for long periods of time.

Typical Working Conditions: Typical work will be performed in a billing area, and involves frequent contact with patients and family members, some of whom may be disgruntled. Work may be stressful at times. The employee must be a comfortable asking patients for money. Interaction with others is constant and interruptive. Contact involves interaction with sick people.

ESSENTIAL JOB DUTIES:

1. Billing specialist is responsible for collecting, posting and managing patient account payments and balances.
2. Responsible for collection of insurance carriers payments and remittance.
3. Must code properly to produce and submit clean claims to insurance carriers.
4. Must follow-up to ensure claims were accepted; if denied, billing specialist must investigate and re-send with appropriate appeal.
5. Verify patient’s insurance coverage.
6. Answer patient questions concerning billing procedures and personal account balances.
7. Produces and maintains accounts receivable reports daily.
8. Must enter daily bank deposits.
9. Prints demographics and reports from Trident Medical Center and Roper St. Francis hospital portals.
10. Scan necessary information into patient charts.
11. Attempts to handle problems as they may arise before sending to Manager.
12. Maintains patient confidentiality; complies with all HIPAA and compliance guidelines established by the practice.
13. Establishes patients into the Patient Portal and routinely communicates with patients through secured messages.

OTHER JOB DUTIES:
1. Facilitates any physician requests throughout the day.

2. Ensures all faxes are cleared off the machine and distributed throughout the day.

3. Keeps the billing area neat and clean at all times.

4. Calls for service on office machines; I.e.-copiers, faxes, credit card machine, etc.

6. Attends all regular staff meetings.

7. Completes all other duties as assigned by the Practice Administrator or Practice Partners.

KNOWLEDGE, SKILLS & ABILITIES:

1. Must possess a detailed knowledge of medical terminology.
2. Requires a detailed knowledge of CPT and ICD-9/10 coding applications.
3. Must possess adequate computer skills and ability to navigate EMR system (NextGen & Macpractice).
4. Must feel comfortable using email and interacting via Internet.
5. Must be able to multitask while maintaining accuracy.
6. Must possess strong verbal and written communication skills.
7. Must always display a collegial, courteous, positive, and helpful attitude towards other offices, patients, patient family, LLCC staff and physicians while maintaining a pleasant speaking voice and attitude.
8. Must display a great approach towards a team-based environment.
9. Must be reliable and highly motivated to excel.
10. Must be able to follow directions and office procedures.
11. Must maintain a professional and neat appearance.
12. Must arrive to LLCC on time each day ready to begin work. Breakfast is not inclusive of work hours.

EDUCATION: High School Diploma required

EXPERIENCE: A minimum of two years in the medical billing profession and Pulmonary care experience is highly recommended.

CERTIFICATE/LICENSURE: Certified Professional Coder certification preferred.

AMERICANS WITH DISABILITY ACT STATEMENT:

All applicants who become disabled must be able to perform the essential job functions, either unaided, or with assistance of a reasonable accommodation, to be determined on a case-by-case basis.

DISCLAIMER STATEMENT:

The aforementioned job description and document is solely intended to outline the general job duties and nature of the role. It’s intent is not to be construed as an exhaustive and all encompassing list of responsibilities, duties, skills and knowledge required of personnel so classified.