Medical Billing Specialist - NextGen Experience Required

Medical Billing Specialist

A busy medical practice in Newark, Delaware is seeking an experienced Medical Billing Specialist to join their team. The Medical Billing Specialist will be responsible for reconciling discrepancies and collecting on delinquent accounts. Candidates are expected to present a positive image, supporting staff members and patients at all times.

Responsibilities:

• Review patient's past due statements, research, and reconcile outstanding items
• Maintain account receivable reports
• Collection of pre-surgical fees
• Maintain the account's receivable within company goals
• Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts
• Review EOB's
• Verify patients insurance
• Independently compose correspondence
• Send letter of protection when PIP is exhausted
• Computer documentation on status of claim
• Provides financial counseling to patients and their families regarding charges for health care services and assist financially responsible person in arranging payment schedules
• Ability to interface with support departments and articulate issues and concerns
• Processing mail
• Interact with a variety of personalities and situations that require tact, judgment, poise and professionalism
• Maintaining patient confidentiality
• Organizational responsibilities: promoting patient rights; responding appropriately to emergency situations; sharing problems relating to patients or staff with immediate supervisor in a timely manner

Job Requirements:

• Experience with NextGen software required
• Previous experience in healthcare collections/billing
• Strong knowledge of medical terminology, CPT, and ICD-10 coding
• Strong knowledge of insurance processes, EOBs, and claim submission requirements
• Experience handling workers' compensation claims strongly preferred
• Understanding and reacting to developing trends in healthcare reimbursements
• Excellent attention to detail, organization, communication, and computer skills
• Ability to maintain good working relationships with all co-workers, patients and general public