Medicare Billing Specialist

Job Description Job Opening : Patient Accounts Representative / Accounts Receivable

We are seeking a skilled and detail-oriented Patient Accounts Representative / Accounts Receivable professional to join our team. The ideal candidate should possess the following qualifications and be proficient in the responsibilities outlined below :

Key Responsibilities :

Insurance Knowledge :

Demonstrate a solid working knowledge of insurance processes, including deductibles, out-of-pockets, and copays.

Payment Posting :

Accurately record payments received from patients and insurance companies in the billing system.

Apply payments to the appropriate patient accounts to ensure precise financial records.

Account Reconciliation :

Conduct regular reviews of patient accounts to identify discrepancies, errors, or unpaid balances.

Investigate and promptly resolve any account discrepancies to maintain accurate financial records.

Customer Service :

Interact with patients and their families to address billing inquiries.

Provide clear explanations of charges and assist in establishing suitable payment arrangements.

Collections :

Initiate collection efforts for past-due accounts, adhering to ethical practices.

Contact patients to discuss payment options and negotiate payment plans if necessary.

Documentation :

Maintain detailed and accurate records of all interactions and transactions related to patient accounts.

Ensure comprehensive documentation of payment arrangements and billing communications.

Compliance :

Ensure strict compliance with healthcare billing regulations, including but not limited to HIPAA.

Adhere to other relevant guidelines to maintain legal and ethical billing practices.

Reporting :

Generate regular reports on accounts receivable status, collections efforts, and billing performance for management review.

Provide insights and recommendations based on the analysis of financial reports.

Benefits : Medical Insurance

Paid Leave

Holidays

401k

Short Term Disability

Qualifications :

Previous experience in a similar role within healthcare finance or billing.

Strong understanding of insurance processes and healthcare billing regulations.

Excellent communication and negotiation skills.

Proficient in relevant software applications for billing and financial record-keeping.

If you are a dedicated and experienced Accounts Receivable professional with a passion for ensuring accurate financial transactions in a healthcare setting, we encourage you to apply.