Clinical Billing Assistant

Description: The clinic Billing Assistant works closely with the clinic Office Manager, Director of Clinical Services, and third-party billing partners to facilitate resolution of claims and answer questions pertaining to account balances.

 

Responsibilities include but are not limited to:

  • Obtaining prior and renewal authorizations for therapy services.

  • Verify insurance benefits.  Review benefits with patient families/caregivers, and documenting in chart.

  • Assist third party billing company in obtaining missing information/documentation required to resolve claims.

  • Work directly with patient families/caregivers to resolve questions and concerns regarding patient balance and/or benefit coverage.

  • Establish payment plans and process electronic patient payments.

  • Assist admin staff in completing annual paperwork and insurance benefit audit.

  • Review high balance reports and determine action plan with office manager for resolution.

  • Assist in filing insurance appeals.

  • Complete invoice process for patients enrolled in TEIS program.

  • Monitor trends in denial codes of claims. 

  • All other duties as assigned.

 

Reports to/Directly Supervised by: 

Clinic Office Manager

 

Qualifications: 

  • High school graduate or equivalent required.  Associates or college degree is preferred.  

  • 2+ years in a customer service, customer-facing position.

  • Preferred experience in medical office, medical billing and/or collections.

  • Preferred knowledge of coding, billing and reimbursement of commercial insurance, EOBs, ICD-10, and CPT codes.

 

Special Skills & Requirements:

  • Strong interpersonal, oral, and written communication skills.

  • Strong computer skills including MS Office and practice management software programs.

  • Excellent organizational and time management skills.

  • Effective human relations skills and proven excellence in customer service.

  • Ability to effectively function in a stressful environment.

  • Knowledge of medical issues, billing, insurance benefits, ICD-10, therapy terminology, and understanding of HIPAA.

  • Thorough attention to detail, problem solving and dedication to provide excellent service.

  • Problem solving skills and out-of-the-box thinking.

 

Benefits:

The Clinic at High Hopes Development Center is a leader in the care of children with disabilities. As a non-profit we are mission driven and passionate about providing expert therapeutic services for the children and families we serve. Employees enjoy a family friendly and supportive team atmosphere in which to grow as a person, professional and/or clinician. 

High Hopes employees enjoy the following benefits: paid time off, paid holidays, health insurance, dental insurance, retirement savings, supplemental insurance, vision, and childcare discount at our on-site child-care/preschool.

Job Type: Full-time (30-40 hours)

Send cover letter and resume to Whitnie Clark.

wclark@highhopesforkids.org