Billing Specialists at Riverside Women's Health

Job Title: Billing Specialist at Riverside Women's Health

General Summary: Support billing and collections functions of the medical practice.

Essential Job Responsibilities:

1. Enter charges in a timely manner.
2. File claims and manage audit trails daily.
3. Process electronic remittance advice (ERAs), payments, and adjustments.
4. Balance daily activity and prepare/send batch cover sheets to management and accounting.
5. Ensure front office staff collects copays and balances due at the time of service by auditing patient financial data up to 2 days before visits.
6. Review and manage delinquent insurance and patient balances.
7. Address credit balances.
8. Generate reports as requested by management or accounting.

Education: High school diploma or GED required; completion of a billing or coding program preferred.

Experience: Minimum of 2 years of experience in medical billing.

Performance Requirements:

Knowledge:

1. Understanding of the accounts receivable collection process.
2. Familiarity with Red Flag rules.
3. Knowledge of electronic health systems.
4. Familiarity with ICD-9 and CPT codes.
5. Awareness of organizational policies and procedures to complete billing tasks in compliance.

Skills:

1. Strong multitasking abilities.
2. Excellent customer service skills.
3. Proficient in computer hardware and software.
4. Effective verbal and written communication skills.
5. Ability to exercise initiative, judgment, and discretion in decision-making.
6. Strong analytical skills to assess situations accurately and take effective action.
7. Ability to establish and maintain effective working relationships with staff, third-party payers, patients, and the public.
8. Organizational skills to manage work and achieve goals.
9. Sound judgment in applying and interpreting policies and procedures.

Abilities:

1. Ability to manage multiple tasks and organize efficiently.
2. Ability to read, interpret, and apply policies and procedures.
3. Ability to prioritize multiple requests.
4. Ability to interact effectively with patients and staff.
5. Proficient in using EMR and standard office equipment.