Clinic Billing Specialist
Company: Oklahoma Arthritis Center
Location: Edmond
Posted on: May 25, 2023
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Job Description:
Oklahoma Arthritis Center (OAC) is an Equal Employment
Opportunity employer and considers all applicants without regard to
race, religion, color, sex, national origin, age, disability,
veteran status, or any other legally protected status.Job
Summary:Reviews billing data from medical office records to ensure
amounts and account numbers are accurate, responsible for account
posting, collections, and verifying patient benefits. Responsible
for accurate diagnosis and procedure coding. Essential
Functions:Responsible for verifying and posting charges.Responsible
for posting and monitoring payments from patients.Answers patient
questions regarding their accounts and insurance coverage.Contacts
insurance companies to verify medical insurance coverage for
patient and to obtain information concerning extent of benefits.
Determine patient's payment responsibility for procedures.Research
and correct all insurance denials.Identify delinquent accounts,
aging period and payment sources. Processes delinquent unpaid
accounts by contacting patients and third-party payers.Perform
various collection actions including contacting patients by
telephone and/or letter and resubmitting claims to third-party
payers.Evaluate patient financial status and establish payment
plans. Follow and report status of delinquent accounts.Review
accounts for possible assignment to collection agency or other
account determination.Oversee claim processing to include audits
and review of claim payments for accuracy and compliance with
contracts.Help patients with Patient Assistance programs.Responds
to patient/payer inquiries in a timely mannerFollows up on unpaid
or improperly paid claims as necessaryReviews and monitors select
accounts within the accounts receivableEnsure patient
confidentiality and follow HIPAA guidelines.Promote a professional
image by adhering to the established dress code as listed in
Employee Handbook.Check and resolve assigned tasks in EMR
program.Performance Requirements:Knowledge: Knowledge of medical
billing and collection practices. Knowledge of basic medical
coding. Knowledge of third-party payer operating procedures and
practices. Knowledge of Medicare requirements.Skills:Proficient
skills in computer programs.Skill in trouble-shooting insurance
claims and problems.Skill in establishing and maintaining effective
internal and external working relationships.Abilities:Ability to
accurately enter data and examine insurance documentsAbility to
deal courteously with patients, staff and others.Ability to
communicate effectively.Qualifications: A High School Diploma or
GED required. A combination of six to twelve months of directly
related training and/or billing experience in a health care
organization is typically required for carrying out the
responsibilities for this job.Physical Requirements:Ability to work
effectively in a fast paced environment.Physical ability to sit,
perform data entry and view computer screen for long periods at a
time.Occasional exposure to communicable diseases and
biohazards.Daily standing, walking, bending, and maneuvering.May
require lifting up to 50 pounds or more to transfer and/or turn
patient with and without assistive devices.Travel
Requirements:Travel may be required.Scheduled Working Hours:Normal
work hours are 8:00 a.m. to 5:00 p.m., Monday through Thursday and
8:00 a.m. to 1:00 p.m. on Fridays. Hours may vary depending upon
the needs of the position, department, and clinic.Other
Duties:Please note this job description is not designed to cover or
to contain a comprehensive listing of activities, duties, or
responsibilities that are required of the employee for this job.
Duties, responsibilities, and activities may change from time to
time, with or without notice.Equipment Operated:Standard office
equipment including: computers, printers, faxes, copiers, postage
machine, etc.
Keywords: Oklahoma Arthritis Center, Edmond , Clinic Billing Specialist, Healthcare , Edmond, Oklahoma
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