Medical Receptionist/Billing Specialist

Company: Clickajobs US
Location: El Paso
Posted on: November 17, 2021

Job Description:

Job descriptionMedical Receptionist/Billing Specialist Description Busy Ophthalmology/Optometry practice seeking experienced Front Desk Receptionist/Billing Specialist. Ensures Billing is properly billed for and collected including claim submission, claim payments, claim follow up, denials and re-processing. Critical thinking and the ability to work independently are essential to success in this position. This position also required front desk coverage when needed.Receptionist Responsibilities: Welcomes patients and visitors with a positive, warm disposition Schedules appointments in person or over the phone Checks patients in and out Answers patient questions; maintains the reception area Ensures availability of treatment information by filing and retrieving patient records Maintains patient accounts by obtaining, recording, and updating personal and financial information Performs all insurance and benefits verifications and pre-authorizations Prepares medical records.Duties include, but are not limited to: Obtaining referrals and pre-authorizations as required for office visits and procedures. Checking eligibility and benefits verification for treatments and procedures. Reviewing patient bills for accuracy and completeness and obtaining any missing information. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary Identifying and billing secondary or tertiary insurances. Reviewing accounts for insurance of patient follow-up. Researching and appealing denied claims. Answering all patient or insurance telephone inquiries pertaining to assigned accounts. Setting up patient payment plans and work collection accounts Working aged receivables. Post Insurance and Patient Payments Answer patient questions regarding EOBs, patient balances, copays, deductibles, write-offs, and other billing issues. Resolves patient complaints or explains why certain services are not covered Submits insurance claims to clearinghouse or individual insurance companies electronically or via paperCMS-1500 form;Prepares and submits secondary claims upon processing by primary insurer. Follows up with insurance payers on underpaid, unpaid, or rejected claims. Researches and resolves problems, re-submits claims, and prepares appeal letters for claim denials Process Patient Statements Work with Collection Agency on Delinquent Accounts Follows all internal billing processes and procedures Follows all regulations and guidelines set by Medicare, state programs, and HMO/PPO plans Follows HIPAA guidelines in handling patient informationFront desk coverage when needed.Other duties may apply.Requirements Minimum of 2 years of proven experience in medical billing required Adherence to laws and best practices in regards to dealing with customers and data Must be comfortable dealing with numbers and the processing of financial information Results-driven and patient Must have a high degree of attention to detail and trustworthiness. Optometry and Ophthalmology billing experience preferred. Qualified candidates must understand insurance carrier rules and edits, as well as possess good customer service skills. Knowledge of eligibility, benefits & billing with various HMO and PPO insurance companies, especially localHMO plansMinimum of 1 year of medical billing experience (experience in Ophthalmology a plus Experience with claim submission, denial, follow-up, appeals, and collections; experience reading and utilizing remittance advices for payment entry Fluency in interpreting explanations of benefits Familiarity with insurance payers (Medicare, Medicaid, and commercial plans) and insurance billing procedures and processes Familiarity with and ability to research CPT, ICD-10 coding, and modifiers Basic knowledge of medical terminology High Degree of attention to detail Must have the ability to communicate effectively with patients An ability to provide professional, courteous customer service An ability to work well in a team environment Accurate and reliable in handling accounts and documents.Job Type: Full-time * Pay: Based on ExperienceSchedule: 8-hour shift Day shift Monday to Friday Education:Experience: ICD-10: 2 year (Preferred) Medical Billing: 2 year (Preferred)Work Location: One locationCompany's website: www.sunlaservision.comBenefit Conditions: Waiting period may apply Only full-time employees eligibleWork Remotely: NoCOVID-19 Precaution(s): Personal protective equipment provided or required Temperature screenings Social distancing guidelines in place Sanitizing, disinfecting, or cleaning procedures in placeJob Types: Full-time, TemporaryPay: $10.00 - $15.00 per hourCOVID-19 considerations:Practicing COVID-19 precautions.s our highly visible Patient Service Specialist, you'll be patient's first touch and are responsible for gathering important information for their visit and providing an exceptional patient experience. Responsibilities: Welcomes patients and visitors with a positive, warm disposition Schedules appointments in person or over the phone Checks patients in and out Answers patient questions; maintains the reception area Ensures availability of treatment information by filing and retrieving patient records Maintains patient accounts by obtaining, recording, and updating personal and financial information Performs all insurance and benefits verifications and pre-authorizations Prepares medical recordsJob Type: Full-timePay: $10.00 - $15.00 per hourBenefits:401(k)401(k) matchingEmployee discountHealth insurancePaid time offRetirement planSchedule:Monday to FridayWeekend availabilityCOVID-19 considerations:COVID 19 Precautions implementedEducation:High school or equivalent (Preferred)Experience:Ophthalmology: 1 year (Preferred)Medical billing & Coding: 1 year (Preferred)Medical receptionist: 1 year (Preferred)Language:Spanish (Required)Work Location:One locationWork Remotely:NoWork Location: One location

Keywords: Clickajobs US, El Paso , Medical Receptionist/Billing Specialist, Administration, Clerical , El Paso, Texas