Data Entry/Billing/Coding Specialist

*Job description* The Billing Specialist is responsible for the timely collection of insurance and patient accounts receivable for the practice.
Duties for this position would include the successful completion of all activities pertaining to the billing and collection of patient and insurance accounts.
*MINIMUM QUALIFICATIONS* Education and Experience: · High school diploma or GED required · Bachelor Degree or Associate Degree in Business or a related field preferred · Prefer two years of experience in ophthalmic billing, patient collections and coding preferred · CPC Certification and Ophthalmic certification in coding desired *ESSENTIAL SKILLS AND ABILITIES* · Proficient computer skills · Ability to problem solve · Detail oriented · Gain a complete understanding of Medicare, Medicaid and commercial insurance plans · Familiarity with ICD-9/10 and CPT Codes · Familiarity with ophthalmic terminology and diseases that affect the eye · Excellent communication skills, proper grammar and writing capability · Team-oriented · Self-directed, highly motivated, able to multi-task and work under pressure in a fast paced environment · Exceptional interpersonal skills · Possess a caring, patient and friendly attitude · Familiarity with all forms associated with the patient’s medical record · Must have the ability to perform all functions the Accounts Receivable/Billing Department *DUTIES AND RESPONSIBILITIES* 1.
Possess a complete hands-on working knowledge of applicable billing & collections software 2.
Review the aging collection report as appropriate to ensure the timely collection of receivables 3.
Provide billing and collections training education and development for the staff as needed 4.
Review, submit and monitor collection agency accounts 5.
Monitor changes in insurance plans and policies.
Inform management of such changes on an immediate basis 6.
On an ongoing basis, monitor insurance websites for updates and policy changes 7.
Answer the telephone and responds to all billing questions in a timely and efficient manner 8.
Provide additional information as requested by insurance companies on claims that have been denied within 48 hours of denial 9.
Track surgical volumes to ensure timely payment of surgical claims 10.
Enter notes on patient ledger regarding information sent or received from insurance companies and from patients 11.
Coordinates weekly transmittal of patient statements with outside vendors 12.
Attaches documentation as needed to paper claims and prepares for mailing 13.
Review patient balances on the aging receivable report and take corrective action as needed to improve insurance and patient collections 14.
Prepare aging reports for all insurance plans 15.
Prepare aging reports for patient balances 16.
Identify unpaid insurance claims that are more than 30 days old on a continuous basis: § Address claims that fall within timely filing deadlines first § Address highest dollar amount claims second § Address largest carriers third § Work the remainder of the report from beginning to end 17.
Identify unpaid patient accounts that are more than 30 days old on a continuous basis: § Address highest dollar amount claims first § Work the remainder of the report from beginning to end § Establish patient payment plans as necessary 18.
Ensure collection of accounts receivable are within the MGMA standards for ophthalmology 19.
Accept verbal and written credit card information with the highest level of confidentiality 20.
Maintains proper standards of productivity as defined by management 21.
Professional and Personal Development/Goals and Objectives a.
Exhibit professional demeanor with a positive attitude at all times when representing the practice b.
Maintain certification, where applicable, while continuing to improve skills.
c.
Must attend all in-service and webinar training as directed by the Director of Managed Care d.
Set goals and objectives for professional growth.
Review and revise goals on an ongoing basis e.
Provide input on how to improve customer service, decrease costs and increase revenue for the practice 22.
Customer Service a.
Support the practice core values and mission statement to develop, enhance and promote quality customer service through team effort.
b.
Exhibit flexibility, sensitivity and respect while maintaining an effective working relationship with all team members 23.
Maintain practice confidentiality, follow HIPAA guidelines and the rules and regulations of the practice as documented in the practice employee manual 24.
Perform other duties as assigned Job Type: Full-time Benefits: * 401(k) * 401(k) matching * Dental insurance * Disability insurance * Employee assistance program * Employee discount * Health insurance * Life insurance * Paid time off Schedule: * 8 hour shift * Day shift * Monday to Friday Supplemental pay types: * Bonus pay Experience: * medical billing: 1 year (Preferred) Work Location: In person Closed *View public job page* Job Type: Full-time Benefits: * 401(k) * Dental insurance * Health insurance * Paid time off Supplemental pay types: * Bonus opportunities Work Location: In person