The Billing and Collections Specialist
ensure financial procedures are completed for all clients in the private
practice setting. Specialist interviews
incoming patients to retrieve all pertinent financial information. Specialist verifies insurance information
with third-party payers to obtain an accurate benefit quote. The specialist is responsible for providing
financial posting services which may include entering receivables and payables,
printing and balancing data entered into the system, performing basic computer
system maintenance, preparing contracts, updating logs, and contacting vendors
and payers. In addition, specialist
ensures the collection of payments from insurance in a timely and accurate manner. Specialist contacts insurance companies and clients
of the clinic via oral and written communication in an effort to collect funds
for services rendered.
Education: Associate’s degree in medical billing
A minimum of two (2) years’ experience in healthcare
Certification: Certified Coding Specialist
preferred, Certified Coding Assistant with 2 years’ experience is acceptable.
Requirements: A working
knowledge of the DSM-V, ICD-9 and ICD-10, CPT, and HCPCS codes, and denial
data processing support to ensure proper and timely entry of payables and/or
receivables within the deadlines given.
receivable processing support for the preparation of various facility reports
and statistical reporting.
and balances all daily and monthly receivable reports and updates files as
directed by the Business Office Manager.
accounts receivable and accounts payable postings are current and accurate;
makes adjustments as requested.
all charges, payments, and adjustments to patient accounts within an acceptable
time frame of charge generation.
all batches are balanced within the appropriate time frame.
support for admissions and new clients to the Facility- including insurance
verification, financial counseling, prior authorizations, and single-case agreements.
insurance verifications to ensure client accounts are accurate when presented
to the clients and/or third-party payers.
communication for admissions to all pertinent staff at the Facility.
insurance for all levels of care, including level IV clients.
claim corrections as applicable.
and communicates payment agreements with clients of the Facility.
The essential job functions of this position are not limited to the duties
SKILLS, AND ABILITIES
effectively and efficiently in an independent role.
to remain calm while working efficiently under stressful conditions.
have excellent interpersonal communication skills, to include written and verbal,
in order to effectively communicate insurance benefits to treatment team.
to accurately read Explanations of Benefits from third-party payers.
knowledge of billing system in identified electronic health record system.
of common forms used to submit claims to third-party payers: UBO4, CMS 1500
and maintain relationships with designated representatives of third-party payers.
MENTAL, AND SPECIAL DEMANDS
to sit for long periods of time (8-10 hours),
to reach above and below the waist, turn, twist and to manipulate small tools
(copier, computer, telephone, typewriter, calculator, safe, facsimile machine).
to see well enough to read handwritten and typewritten material.
to handle a variety of repetitive tasks at a moderate level.
to work varied hours (i.e. evenings) as required, may be on call as needed.
to travel between facility locations, and at times, the corporate office.
7. Ability to drive a motor vehicle to designated
8. Ability to handle multiple projects and tasks
under deadlines and with short notice.
Vertava Health is an EEO employer - M/F/Vets/Disabled