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.