Medical Billing Specialist Central Billing Office Slidell Memorial Hospital - Slidell, LA
Job Details
The Physician Office Billing/Coding Specialist serves as a vital contact for financial concerns for medical services rendered in the physician office by communicating to patients and/or insurance companies in a friendly professional manner. This position requires a very strong emphasis on oral communication, excellent telephone and customer service skills, and a willingness to interact with the public.
Job Details
The Physician Office Billing/Coding Specialist serves as a vital contact for financial concerns for medical services rendered in the physician office by communicating to patients and/or insurance companies in a friendly professional manner. This position requires a very strong emphasis on oral communication, excellent telephone and customer service skills, and a willingness to interact with the public.
- Demonstrates the ability to organize and plan daily work with completion requirements.
- Maintains the integrity of patients accounts receivables.
- In addition, the job position is responsible for verifying and managing all billable services.
- Accurately and consistently applies SMH Physician Networks denial codes, adjustment codes, and payment codes in patient accounts. Reviews, corrects, and maintains patient accounts for correct Insurance Group and Insurance Class assignment.
- Responsible for reviewing the patients accounts’ financial activities for accuracy of coding, charge posting, of patient payments, and reviewing daily cash deposits.
- Reviews the patients daily cash collections posted by the Physician Office Check-Out representative for accuracy of collections and posting of insurance co-payments and identifies errors to patient co-pays and deductibles per assigned insurance contracts.
- Documents all communications and correspondence with patients, insurance carriers, medical providers, and vendors.
- Processes batches daily and reviews the batch report on the following day for any charges requiring additional information and correction.
- Reviews and corrects daily pre-bill denials and reprocesses for payments.
- Stays up-to-date with any insurance/payor source requirements and inform staff of any changes.
- Attend insurance/payor source inservices when available.
- Communicates to SMH Physicians Network supervisor any concerns, issues, and/or processes to either improve the quality of care provided or improve the operational efficiency.
- Communicates weekly with Office Managers on charging improvements and/or improve denial management.
- Performs other duties as assigned or directed to ensure smooth operation of the organization.
- Knowledge of CPT/HCPCS coding, billing, reimbursement processes and denial reason codes.
- Capable of making decisions using critical thinking skills.
- High school diploma, GED not acceptable.
- Minimum one (1) year of billing and/or collections experience in a physician office.
