HealthPoint · 2 months ago
RCM Billing Specialist
HealthPoint is a healthcare organization seeking an RCM Billing Specialist I. The role involves managing and processing patient billing, claims, and payments, ensuring accuracy in patient accounts, and providing excellent customer service to patients regarding their billing inquiries.
Health CareHealth DiagnosticsMedicalNon Profit
Responsibilities
Verify patient insurance coverage and eligibility prior to claim submission
Contact patients and insurance companies to follow up on outstanding claims and payments
Set up payment plans with patients when necessary and monitor adherence to payment schedules
Assesses accuracy of demographic and policy information within patient accounts
Responsible for charge and payment entry within medical software program
Prepare and submit medical claims to insurance companies and other payers, ensuring accuracy and compliance with industry regulations
Reconcile patient accounts by reviewing balances, payments, and adjustments
Investigate and resolve account discrepancies or billing issues
Document all collections activities and update patient account records accordingly
Assists in reconciling insurance deposits and patient collections
Coordinates with Front Desk staff regarding collection of current or past due patient balances, co-pays, deductibles, etc. Available to answer billing and charge related inquiries
Provide excellent customer service by answering patient inquiries regarding billing statements and insurance claims
Educate patients about their billing statements, payment options, and insurance coverage
Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to insure a professional, responsible and courteous environment
Promotes effective working relations and works effectively as part of a team to facilitate the department’s ability to meet its goals and objectives
Performs other duties as assigned
Qualification
Required
High School Diploma equivalent required
A minimum of 1 year of medical billing experience
Preferred
3 - 5 years of medical billing experience preferred
Some training or background in medical coding preferred
Knowledge of medical terminology and billing practices preferred
Company
HealthPoint
HealthPoint is a nonprofit organization that renders an array of healthcare, dental & pharmacy services as well as offers health education.