Medical Billing & Collections Specialist | eKidzCare
Corporate Positions
- Sewickley, PA
- Permanent
- Full-time
- Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication;
- Responsible for correcting, completing, and processing claims for all payer codes;
- Analyze and interpret that claims are accurately sent to insurance companies;
- Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;
- Process appeals online or via paper submission;
- Assist in reconciling deposit and patient collections;
- Assist with billing audit-related information;
- Process refund requests;
- Attend provider meetings/ workshops when needed;
- Communicate with billing and credentialing coordinator to identify and resolve audit review issues;
- Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes-related inquiries by patients, staff, Managed Care Organization, etc.;
- Communicate daily with internal and external customers via phone calls and written communications;
- Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor;
- Research, record findings, and communicates effectively with Manager to achieve optimum performance;
- Pursue and participate in education to remain current with changes in the Healthcare industry;
- Perform other duties as assigned to support ePeople’s Mission, Vision, and Values.
- Proficient knowledge of PA Medicaid, Managed Care and commercial health care plan billing & collection practices
- Minimum of two years of related experience in a business, medical or technical environment;
- Previous experience in a medical office setting and/or experience with an Electronic Medical Record a plus;
- Customer service driven;
- Understanding of medical terminology and insurance laws/guidelines;
- Excellent organization and time management skills along with excellent oral and written communication skills;
- Strong team player;
- Ability to learn quickly, build and maintain long-term relationships and work with minimal supervision;
- Strong written and verbal communication skills; strong analytical, organizational and time management skills required.