| Sacramento, CA | |
| $23-$27 | |
| Full-time |
Job description
Originally established in 1957, Sacramento Ear, Nose & Throat’s (SacENT) award-winning physicians are nationally recognized leaders in their fields. At SacENT, the mission of the physicians and staff is to provide the highest standard of state-of-the-art specialty medical care in a personal, compassionate manner.
SacENT is looking to fill the Billing/Collection Specialist position.
POSITION SUMMARY
Responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. Gather charge information, codes, enter/verify data in the Practice Management System, complete billing process and distribute billing information. Responsible for collection of delinquent patient accounts.
ESSENTIAL FUNCTIONS
BILLING
- Researches all information needed to complete billing process including getting charge information from physicians.
- Codes information about procedures performed and diagnosis on charge.
- Keys charge information into on-line entry program and produces billing.
- Works with other staff to follow-up on accounts until zero balance or turned over for collection.
- Assists with coding and error resolution.
- Assists with answering the telephone and provides information as requested.
- Maintains required billing records, reports, files.
- Participates in educational activities.
- Maintains strictest confidentiality.
COLLECTION
- Identifies delinquent accounts, aging period and payment sources. Processes delinquent unpaid accounts by contacting patients and third party responsible for reimbursement.
- Performs various collection actions including contacting patients by phone and resubmitting claims to third party responsible for reimbursement.
- Evaluates patient financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
- Reviews accounts for possible assignment makes recommendation to Billing Supervisor and prepares information for collection agency.
- Assigns uncollectible accounts to collection agency or attorney via clinic Credit and Collection policy. Contacts lawyers involved in third-party litigation.
- Answers inquiries and correspondence from patients and insurance companies. Using Clinic approved correspondence letters.
- Identifies and resolves patient billing complaints. Researches credit balances.
- Participates in educational activities.
- Maintains strictest confidentiality.
OTHER
- Other duties as assigned.
KNOWLEDGE, SKILLS AND EXPERIENCE
Minimum Education (or substitute experience) required:
- High School graduation or GED.
Minimum Experience required:
- Minimum of three years billing experience in a health care organization. Knowledge of medical terminology desirable. Word processing and computer experience.
Skills required:
- Able to think and act independently on assigned tasks.
- Demonstrates increasingly more ability to troubleshoot and solve overall issues.
- Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Use of computer systems, software, 10 key calculator
- Effective communication abilities for phone contacts with insurance payers to resolve issues
- Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
- Able to work in a team environment
- Problem-solving skills to research and resolve discrepancies, denials, appeals, collections
- Knowledge of accounting and bookkeeping procedures
- Knowledge of medical terminology likely to be encountered in medical claims
Please apply and message us through Indeed to inquire more about the open positions with SacENT.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Experience:
- Medical Billing: 1 year (Required)
Work Location: In person