The Medical Billing Specialist is responsible for patient financial interviews, which includes a review of the clinic and hospital charges, the patient’s insurance status and his/her financial resources. The Medical Billing Specialist is responsible for taking appropriate action based on the results of this initial interview.
UAMS offers amazing benefits and perks:
Salary offered commensurate to experience
Review Patient Insurance - Eligibility and benefits are properly verified prior to initial visit and thereafter. Ensures all the paperwork is in order and collects forms such as prior authorizations if needed. Establish payment plans according to patient payment policy. Help determine patient eligibility for state-funded programs. Assist in the completion of applications for Financial Assistance. Refer patients to additional state agencies who can provide assistance. Assist in scheduling medical appointments with physicians or for testing and procedures. Make the application renewal or re-enrollment process easier. Work with health insurance providers to determine coverage and benefit limits.
Financial Counseling - Review patients accounts with past due balances. Verify patient insurance prior to their arrival. Communicate with patients to establish payment expectations based on individual insurance benefit plans. Establish payment arrangements/plans. Follow-up with unpaid or past due patient accounts.
Outstanding insurance claims – Maintain files and contact appropriate parties to determine correct status. Follow-up on unpaid insurance accounts. Process all assigned insurance accounts until paid in full.
Daily deposits - Balance credit card machines daily, balance cash deposit reconciliations as required, balance check deposits.
Patient pre and exit registration - Help pre-register patients. Demonstrate ability to have meaningful discussion of benefits with patients when pre-registering, and when present in the department. Collect copay, deposit and payments on balances from patients. Schedule patient appointments.
Other Duties - Provide back-up to front desk and call center positions. Perform other duties as assigned.
High school diploma or GED equivalent and three (3) years of experience in financial setting/counselling. Must be well-versed in insurance terminology, knowledgable with how to verify insurance coverage, including co-payments, deductibles, etc. Must have an understanding of regulatory compliance and insurance company requirements, and also how Medicare and Medicaid programs work. Knowledgable with assistance programs and financial aid available for low-income patients. Know clinic admission forms/process for patients. Must have working knowledge of Centricity Program.
Medical office experience in a specialized or a related field applicable to work performed.