Medicaid Billing Specialist in Gaithersburg, MD at Alltran

Date Posted: 9/13/2018

Job Snapshot

Job Description

Medical Billing Specialist 

SUMMARY

Alltran has an opening for a Medical Billing Specialist in our Extended Business Office Service Line (EBO). Working under general supervision, provides revenue cycle services to existing clients by telephone.  Responsible for gathering patient information needed to provide services such as following up on complex claim issues, pre-registration, customer service, pre-authorization, and self-pay balance resolution id applicable.  Work will be assigned via a work queue in the clients electronic health record system as well as Alltran inventory management system.

 

RESPONSIBILITIES 

  • Reduce outstanding accounts receivable by managing claims inventory
  • Speak to patients and insurance companies in a professional  regarding their outstanding balances
  • Gathers information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
  • Requests, inputs, verifies, and modifies patient’s demographic, primary care provider, and payor information
  • Utilizes tools, including computer programs, when indicated
  • Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
  • Answers questions by phone and provides quotes for services identifies financial resources, etc. in accordance with the client policies and procedures
  • Utilizes various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
  • Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software
  • Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
  • Works with Claims and Collections in order to assist patients and their families with billing and payment activities in order to increase cash flow
  • Other duties as assigned

Job Requirements

Minimum Qualifications:

  • 2 years clerical experience in health care revenue cycle operations: billing/claims, patient accounting, collections, admissions, registration, etc.
  • Bi-lingual strongly preferred, required in some positions
  • Must be able to work Monday - Friday, 8 AM - 5:30 PM 

Preferred Qualifications:

  • Demonstrated organizational skills and the ability to prioritize and manage tasks based on established criteria 
  • Excellent verbal and written communication and interpersonal skills
  • Ability to work independently with minimal supervision, within a team setting and be supportive of team members
  • Proficient with Microsoft Office  
  • Ability to analyze issues and make judgments about appropriate steps toward solution

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