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E.N.T. Specialty Partners

Revenue Cycle Specialist II - Patient Billing & Collections

Posted 2 hours ago
2-5 years experience
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AI Summary

The specialist is responsible for managing patient billing inquiries, resolving claim issues, and processing payments. They must also maintain accurate patient records and handle outbound collections calls while adhering to HIPAA guidelines.

Job Details: Level: Experienced, Job Location: ESP Executive Offices - Dallas, TX, Position Type: Full Time, Education Level: High School, Salary Range: Undisclosed, Travel Percentage: None, *THIS IS A REMOTE POSITION - FOR CANDIDATES RESIDING IN THESE STATES ONLY NEED APPLY: TEXAS, PENNSYLVANIA, MARYLAND, VIRGINIA* RESPONSIBILITY: Primarily responsible for handling all incoming patient billing inquiries for all ENT Specialty Partners offices and settling account balances. Is able to resolve claim issues by utilizing knowledge of company policies and procedures, medical coding, insurance reimbursement practices, and collection laws. POSITION RESPONSIBILITIES: Accurate data entry of information into the computer system Provide reimbursement assistance to patients while providing superior customer service and respect to patients and their families Follow appropriate HIPAA guidelines provide medical records to primary care provider, insurance carriers, referred providers and patients per patient request Timely and accurate filing and billing of all patient transactions Handle incoming calls from patients and triage billing inquiries regarding outstanding balances Take payments over the phone Make outbound calls to patients / guarantors regarding outstanding balances and offer payment options   Review patient account balances and determine that appropriate actions have been previously taken by billing, payment posting and AR follow up Answer/respond to correspondence related to patient accounts Posting of charges, payments, adjustments and related activities in EHR. Work well individually or in a team environment accomplishing set goals Ability to maintain confidentiality Performs other related duties as assigned Qualifications: MINIMAL REQUIREMENTS: High School Diploma or equivalent Understanding insurance remits and remark codes (REQUIRED) Minimum 3 years recent experience in medical billing, claims processing and collections Minimum 3 years recent experience handling incoming patient calls for post adjudicated claims for providers Excellent customer service skills with an understanding of delivering information to a patient / customer in a timely manner Bilingual in English/Spanish preferred, but not required Understanding of medical claims and terminology Basic math skills and accurately process money transactions (must be able to read & understand an EOB) Experience with office equipment: multi-functional printer/copier/fax, multi-line phone system, calculator, postage machine, and so on Must be proficient using the computer, data entry, and have above average typing skills Experience with MS Office, EMR/EPM systems Experience with eClinical Works Practice Management system preferred Prior experience with ENT specialty a plus

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