Responsibilities

• Verify patient information and insurance coverage to ensure accurate billing
• Familiarity with Insurance portals
• Understanding of EOBs/remittances to implement contractual adjustments, denials, reviews and balance billing
• Follow up on unpaid and outstanding claims to ensure timely filing and payment
• Identify and resolve unpaid or denied claims, correct and resubmit for review
• Communicate with patients to address billing inquiries and resolve discrepancies in both English and Spanish
• Customer service to assist patients, providers and insurance companies with billing inquiries/issues in both English and Spanish
• Implement and follow established processes
• Maintain accurate documentation of billing activity on accounts
• Comply with HIPAA regulations

Skills

• Excellent communication and customer service abilities with multi-line phone system experience
• Attention to detail and strong organizational skills
• Desire to learn
• Comfortable with numbers
• Problem-solving skills
• Computer knowledge and agility
• Ability to identify patterns that may lead to improved billing practices
• Reliable time management
• Clear verbal and written communication in both English and Spanish

Qualifications:

• Fluent in both English and Spanish
• Minimum 2-years proven experience in medical billing or a related field
• Associates degree or Certification in medical billing
• Knowledge of EMR and EHR systems