Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization.
This is not a remote position
Principal Duties And Responsibilities
Maintain current knowledge of federal and state regulations regarding medical billing practices.
Act as a resource to practice management and providers.
Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status.
Submissions of claims to third party payers; ensure clean claim rates with submissions.
Identify trends within the Accounts Receivable
Verifies completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Refund processing for third party payors and patients.
Research and analyze payments for discrepancies to companies and individuals
Accurately post all insurance and patient payments. Reading and interpreting insurance explanation of benefits.
Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Maintain patient confidentiality.
Demonstrate flexibility to perform duties wherever volume deems it necessary within the billing area.
Basic Knowledge
A technical understanding of reimbursement policies and procedures of various third-party payor and medical assistance programs to ensure billing procedures are compliant.
Interpersonal skills to exchange information with patients, internal and external clients.
Understand the basic reporting and balancing.
Analytical ability to research and resolve billing problems, trending and to prepare statistical reports depicting billing activity.
Knowledge of insurance guidelines
Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Provide feedback to Brown Dermatology practices surrounding error trends with demographics, eligibility, and etc.
Experience
High school diploma, GED
Three -five years of accounts receivable/third-party payor billing.
EOE/F/M/Vet/Disabled
Brown Dermatology requires employees to be vaccinated against COVID as a condition of employment, subject to accommodation for medical exemptions.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Medical Practices
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