Patient Financial Billing Specialist

Gila Regional Medical CenterSilver City, NM
2d

About The Position

GENERAL DESCRIPTION The PFS Billing Specialist is responsible for payment posting, collections at front desk and scheduling. This position requires additional duties if requested by Management. ESSENTIAL FUNCTIONS · Billing · Customer Service · Collections & Payment posting · Review for insurance information, medical necessity and other pertinent information as related to billing · Verify insurance information via online resources, as well as by telephone · Navigate through Meditech to locate supporting documentation that may be relative to the billing process · Attempt to initiate contact with patients when insurance information is not provided at the time of service · Skip trace using online tools and resources · Scheduling of patients for appointments · Data entry of patient demographics · Select and add appropriate payor to patient accounts · Recognize and identify appropriate level of service · Knowledge of ICD-10 and HCPCS codes, as well as associated modifiers · Other duties as assigned by PFS Director and/or Management

Requirements

  • High School Diploma and/or two years of Medical Billing, Collection and or Payment posting experience.
  • Must have healthcare experience and/or knowledge of the process of duties.
  • Ability to demonstrate proper time management skills as related to daily schedules and productivity.
  • Aptitude for appropriate use of a time keeping system.
  • Must be computer literate.
  • Skilled in data entry.
  • Proficient typing skiills
  • Must have knowledge of medical terminology.
  • Excellent interpersonal and customer service skills.
  • Ability to communicate, both orally and in writing, in a professional manner when dealing with employees and management.
  • Ability to work independently of direct supervision.
  • Well organized and detail oriented.
  • Display a willingness to work as a team player.
  • Ability to handle multiple tasks and to prioritize their importance.

Responsibilities

  • Billing
  • Customer Service
  • Collections & Payment posting
  • Review for insurance information, medical necessity and other pertinent information as related to billing
  • Verify insurance information via online resources, as well as by telephone
  • Navigate through Meditech to locate supporting documentation that may be relative to the billing process
  • Attempt to initiate contact with patients when insurance information is not provided at the time of service
  • Skip trace using online tools and resources
  • Scheduling of patients for appointments
  • Data entry of patient demographics
  • Select and add appropriate payor to patient accounts
  • Recognize and identify appropriate level of service
  • Knowledge of ICD-10 and HCPCS codes, as well as associated modifiers
  • Other duties as assigned by PFS Director and/or Management
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