Medical Billing Specialist

ADP, Inc.; Avondale (LA); On-site; USD 38,000 - 54,000; Full time

Job summary

ADP, Inc. is seeking a Medical Billing Specialist to manage patient accounts, reimbursement processes, and denial resolutions across dental services, ensuring accuracy and timeliness.

You will review Explanation of Benefits (EOBs), verify insurance eligibility, submit claims, follow up on outstanding balances, and communicate clearly with patients and insurance companies regarding payment obligations. This on-site role requires strong attention to detail, knowledge of Medicaid and Medicare

Qualifications

• Certificate or diploma in Insurance Billing and Coding or 5+ years direct ambulatory or community health billing experience.
• Experience in ambulatory or community health billing and/or training.
• Ability to read and interpret Explanation of Benefits (EOB) and communicate with payers.

Responsibilities

• Maintains accounts receivable records confidentially and in line with standard procedures.
• Keeps internal controls over accounts receivable.
• Monitors collections and reimbursements from insurance payers.
• Reviews and processes insurance denials and EOBs.
• Communicates with patients and insurers regarding payment policies and obligations.
• Prepares reports and surveys related to billing, collections, and reimbursements.
• Verifies insurance/claim status and resubmits claims as needed.
• Monitors billing trends and assists with billing issues for patients.

Skills

Communication

Billing accuracy

Medicaid/Medicare

Deadline-oriented

Education

Certificate or diploma in Insurance Billing and Coding

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Billing Specialist

2 days ago Requisition ID: 1145

GENERAL SUMMARY OF DUTIES:Provides patient account and reimbursement services for all units of the agency that requires third party and other billing related functions (with the exception of grants and contracts).

SUPERVISION EXERCISED: None

ESSENTIAL FUNCTIONS:

• Ensures accounts receivables (AR) records are maintained in a confidential manner and in accordance with standard accounting procedures.
• Maintains appropriate internal controls over accounts receivables.
• Ensures security of cash payments on accounts.
• Monitors accounts sent for collections and reimbursements from insurance companies and other third party payers.
• Keeps abreast of all reimbursement billing procedures of third party and private insurance payers and government regulations.
• Monitors and provides updates on the dental billing trends.
• Responsible for reviewing and distributing correspondence relative to the denial of insurance payment
• Communicate effectively with patients and insurance companies regarding payment policies and financial obligations for dental services.
• Responsible for communicating with insurance companies, or other related entities regarding claims
• In conjunction with the Billing Manager, prepares reports, statistics and surveys related to billing, collections and reimbursements for dental services.
• Responsible for reading, interpreting, and processing Explanation of Benefits (EOB) in a timely and efficient manner
• Responsible for reporting billing related issues, timely, to the Billing Manger
• Duties will include but is not limited to the following: processing claim denials, verification of insurance/claim status, resubmission of claims, follow up and maintenance of claims, patient assistance with billing issues.
• Submit the required billing information to any offsite billing services as required to ensure efficient dental billing services.
• Submit ongoing information to providers to ensure billing codes are accurate.
• Monitor collection trends and contact patients as necessary regarding outstanding payments.
• As needed assist patients with billing issues and reconciliations
• Work with the dental department Practice Manager and front desk staff has necessary to ensure that procedures are in place to ensure accurate billing practices.
• Keep abreast of Medicaid and Medicare billing issues that could affect dental billing.
• Other job duties as assigned by the Billing Manager.

QUALIFICATIONS:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION/EXPERIENCE: Certificate or diploma in Insurance Billing and Coding an accredited institution; or a minimum of five (5) years direct ambulatory or community health billing related experience and/or training; or equivalent combination of education and experience.