Physician Practice Billing Specialist
Effingham Health System · US
Description JOB SUMMARY Under the general direction of the Billing Services Manager, the Director of Business Services, and the Physician Practice Business O...
Job description
Description JOB SUMMARY: Under the general direction of the Billing Services Manager, the Director of Business Services, and the Physician Practice Business Office Supervisor, the Practice Billing Specialist will create claims, bill payers, review EOBs, post payments and provide all follow up work necessary for account reimbursement, including appeals, patient responsibility statements and collection efforts. Additionally, the position may require communication with providers regarding missing information or coding issues. STANDARDS OF PERFORMANCE: - Prepares and submits clean claims to various insurance companies either electronically or by paper. - Answers questions from patients and Insurance companies. - Identifies and resolves patient billing complaints. - Prepares, reviews and sends patient statements - Evaluates patient’s financial status and establishes budget payment plans. - Follows and reports status of delinquent account - Makes recommendations for delinquent accounts to be forwarded to collection agencies. - Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. - Processes payments from ins...