Medical Billing Specialist

California Retina Consultants in; Santa Barbara (CA); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking a Medical Billing Specialist to ensure accurate processing of medical claims. This remote position requires candidates to reside within Central California and involves direct interaction with patients and insurance companies to facilitate billing processes.

Qualifications

• Experience in medical billing or coding preferred.
• Strong communication skills for patient interactions.
• Ability to handle multiple tasks efficiently.

Responsibilities

• Prepares and submits claims to insurance companies.
• Contacts insurers regarding unpaid claims.
• Handles patient inquiries and billing complaints.

Skills

Attention to detail

Communication

Problem-solving

Education

High School Diploma or equivalent

Tools

Practice Management software

Job description

Medical Billing Specialist (Healthcare)

Billing Specialist

Our Billing Specialist plays a crucial role by ensuring accurate and timely processing of medical claims. This person will primarily be responsible for handling billing and invoicing procedures, working closely with healthcare providers, insurance companies, and patients to facilitate smooth financial transactions.

This is a remote position; however, all candidates considered for this position must currently reside within Central California.

Responsibilities

1. Prepares and submits clean claims to various insurance companies either electronically or by paper.
2. Contacts insurance companies regarding unpaid claims via rebill, appeals, or phone.
3. Accepts incoming phone calls for patient inquiries.
4. Answers questions from patients, clerical staff, and insurance companies via phone, email, and messaging portals.
5. Identifies and resolves patient billing complaints.
6. Prepares, reviews, and sends patient statements as needed.
7. Mails appropriate patient contact letters to resolve outstanding claims.
8. Evaluates patients' financial status and establishes budget payment plans.
9. Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.
10. Utilizes Practice Management software and completes assigned AR and patient tasking.
11. Participates in educational activities and attends monthly staff meetings.
12. Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
13. Performs other duties as assigned.