Medical Billing Specialist

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

Job summary

An established industry player is seeking a dedicated Customer Accounts Specialist to join their Revenue Cycle Management team. This role involves engaging with patients to resolve billing inquiries, ensuring accuracy in patient accounts, and providing exceptional customer service. The ideal candidate will possess strong communication skills, attention to detail, and a commitment to maintaining confidentiality. This position offers a dynamic work environment where you can make a meaningful impact on patient experiences while adhering to HIPAA guidelines. If you are passionate about helping others and thrive in a team-oriented setting, this opportunity is perfect for you.

Qualifications

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

Responsibilities

• Handle up to 50 patient inquiries daily via phone and email.
• Reconcile patient accounts to ensure accuracy of statements.
• Maintain accurate records of collection activities.

Skills

Verbal Communication

Written Communication

Customer Service

Time Management

Attention to Detail

Problem Solving

Education

High School Diploma

Secondary Education or Medical Certification

Tools

Microsoft Office

CRM Tools

Job description

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 EOBs is mandatory. The representative will be tasked with resolving 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.

RESPONSIBILITIES:

1. Communicate with up to 50 patients each day through phone calls and emails in a professional and courteous manner.
2. Handle a variety of inquiry categories including questions about patient statements, billing, and general questions.
3. Help reconcile patient accounts to ensure correctness of patient statements. Have a working knowledge of Medicaid, Medicare programs, and commercial insurances.
4. Interpret Explanations of Benefits or Remittance Advice (EOB or RA).
5. Explain billing statements and methodologies.
6. Maintain accurate and complete records concerning collection activity on all accounts according to company procedures.
7. Process requests quickly, accurately, and consistently with general supervision.
8. Submit adjustment/refund requests if needed.
9. Keep management informed of areas of concern and problems identified.
10. Assist in monthly closing by ensuring all appropriate information is entered into the system.
11. Process credit card payments.
12. Monitor hardship applications.
13. Process correspondence, as assigned.
14. Perform other related duties as assigned.
15. Follow all HIPAA guidelines.

MINIMUM QUALIFICATIONS:

• 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.
• Ability to work with and maintain confidential information.

PREFERRED QUALIFICATIONS:

• Secondary education or Medical Certification.
• Experience in the healthcare industry preferred.
• Knowledge of CRM tools and related analytics desired.

COMPETENCIES:

• Experience with Microsoft Office (Word, Excel, PowerPoint).
• Familiarity with performance metrics and ability to meet targets.
• Strong customer service skills and professional demeanor.
• Working knowledge of HIPAA and the Affordable Care Act.
• Aptitude for problem solving and staff coaching/training.
• Effective communication skills, both written and oral.
• Ability to present information effectively in one-on-one and small group settings.
• Ability to handle multiple tasks and interruptions.
• Analytical skills.

EEO STATEMENT:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.