Medical Billing Specialist

Spectraforce Technologies; Livermore (CA); On-site; USD 40,000 - 65,000; Full time

Job summary

An established industry player is looking for a dedicated Medical Billing Specialist to join their Revenue Cycle Management team. This role involves engaging with patients to address billing inquiries, ensuring accuracy in patient accounts, and maintaining compliance with HIPAA regulations. The ideal candidate will possess strong communication skills, attention to detail, and a solid understanding of the revenue cycle. If you thrive in a fast-paced environment and enjoy helping others, this opportunity is perfect for you. Join a supportive team where your contributions will directly impact patient satisfaction and operational efficiency.

Qualifications

• High school graduate or equivalent required.
• Strong verbal and written communication skills are essential.
• Knowledge of Revenue Cycle Customer Billing is mandatory.

Responsibilities

• Communicate with up to 50 patients daily through calls and emails.
• Reconcile patient accounts to ensure correctness of statements.
• Process credit card payments and monitor hardship applications.

Skills

Verbal Communication

Written Communication

Revenue Cycle Management

Customer Service

Problem Solving

Attention to Detail

Education

High School Diploma

Medical Certification

Tools

Microsoft Office

CRM Tools

Job description

Title: Medical Billing Specialist

Duration: 6 Months

Location: Livermore, CA, 94550

Timings: Monday - Friday 7:30 am - 4:00 pm



Job Summary:

The position of Customer Accounts Specialist is within our Revenue Cycle Management located at Livermore, California. In this role, you will be responsible for handling inbound calls regarding questions on billing statements and the follow-up of outstanding patient balances. Working knowledge of billing, insurance, and interpreting EOB's is mandatory. The representative will be tasked to resolve unpaid accounts in a timely and efficient manner while maintaining quality and production standards set for the position. This job description will be reviewed periodically and is subject to change by management.



Job Responsibilities:

• Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner.


• Handle a variety of inquiry categories including questions about patient statements, billing, and general questions.


• Helps reconcile patient accounts to ensure correctness of patient statements. Has a working knowledge of Medicaid and Medicare programs and commercial insurances.


• Ability to interpret Explanations of Benefits or Remittance Advice (EOB or RA).


• Able to explain a billing statement and methodology.


• Maintains accurate and complete records concerning collection activity on all accounts according to company procedures.


• Process requests quickly, accurately, and consistently with general supervision.


• Submit adjustment / refund requests if needed.


• Keeps management informed of areas of concern and problems identified.


• Assists in monthly closing by assuring all appropriate information is entered into the system.


• Process credit card payments.


• Monitors hardship applications.


• Process correspondence, as assigned.


• Performs other related duties as assigned.


• Follows all HIPAA guidelines.

Basic Qualification | Education

• High school graduate or equivalent required


• Strong verbal and written communication skills


• Knowledge of Revenue Cycle Customer Billing


• Excellent oral and written communication skills preferred


• Detail oriented with a focus on exceptional customer service


• Strong time management skills and ability to manage individual assignments


• Ability to work in a team environment


• Strong attention to detail


• Requires the ability to work with and maintain confidential information

Preferred Qualifications:

• Secondary education or Medical Certification


• Experience in the healthcare industry preferred


• Knowledge of customer relationship management (CRM) tools and related analytics desired

Competencies:

• Experience with Microsoft Office - Word, Excel, PowerPoint required


• Familiarity with performance metrics and ability to meet identified targets required


• Strong customer service skills and professional demeanor required


• Working knowledge of HIPAA and the Affordable Care Act


• Must have an aptitude for problem solving and staff coaching/training


• Must be able to communicate both written and orally in a business professional manner


• Must possess the ability to effectively present information in one-on-one and small group situations to customers and other employees


• Must possess the ability to work in an environment of multiple concurrent tasks and constant interruptions


• Analytical skills are required