Medical Billing/Collection Specialist

Woodlawn is looking for a Medical Billing/Collection Specialist to join our Team!

Our Mission is to provide excellent healthcare services by highly skilled staff in a compassionate and caring manner. We know that our employees are essential to the care we provide!

Our Core Values are as follows: Courtesy, Respect, Caring, Professionalism, Confidentiality, Integrity, and Accountability.

EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS:

• Prior Hospital &/or Physician Billing/Collections experience is required as well as High school diploma/GED
• Good communication skills and pleasant phone technique as required while handling various telephone and in-person communication with patients, guests, and other medical providers in a professional manner.
• Must possess and demonstrate good customer service skills.
• The right candidate should have the ability to:
  • Read, analyze, and interpret governmental regulations and documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Plan, organize, and prioritize work in a multi-task environment where interruptions may be frequent.
  • Maintain strict confidentiality as defined by hospital policy.
  • Adapt to variations in scheduling (including but not limited to overtime, work schedule changes or low census).
  • Calculate figures and amounts such as discount interest, proportions percentages, and volume.
  • Solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
  • Interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Effectively present information in one-one and small group situations to patients, patients’ representatives, and other employees of the organization.
  • Type, operate a computer, and a familiarity of medical terminology.

PRIMARY DUTIES:

• Verifies insurance and makes necessary corrections.
• Computes the patient’s total hospital bill showing the payments to be made by insurance and by the patient.
• Compares the UB and the 1500 forms for detailed billing accuracy.
• Analyses itemized hospital bill for the correctness and sends to patient when requested.
• Makes any necessary corrections on downloading lists.
• Reviews payment listings weekly and moves accounts as necessary.
• Responds to all patient requests & questions promptly & accordingly.
• Verifies patients’ insurance plans and makes necessary corrections.
• Telephones, writes, or sends a fax to insurance company to verify patient’s coverage and to obtain information concerning extent of benefits.
• Obtains pre-certification from Medicare and Medicaid as needed, as well as Medicaid numbers.
• Sorts and distributes incoming mail and prepares outgoing mail according to postal regulations as needed.
• Reviews and mails all bills including all group accounts.
• Analyzes all mail and then takes appropriate action.
• Checks cash receipts list, pulls zero balances and files.
• Reviews insurance reports, letters, and final notices, in order to check for accuracy.
• Reviews daily, weekly, and monthly computer-generated patient accounting reports and then takes appropriate action.
• Checks local paper for public notices of obituaries as well as estate filings. Contacts courthouse when necessary.

Full-time, day shift, no weekends, no holidays!

BENEFITS:

• Medical
• Dental
• Vision
• Life Insurance & Disability
• 403 (b) with company match
• Vacation Time
• Sick Time
• FSA