Medical Billing Specialist

Accounts Receivable Specialist (Healthcare and Legal Billing)

Key Responsibilities:

• Communicate and collaborate with PCM/CSR to request payment and update payment status.
• Follow up on unpaid medical insurance claims within the standard billing cycle timeframe.
• Review and appeal denied or unpaid medical claims.
• Generate and review statements for legal services related to healthcare billing.
• Call patients regarding all non-responsive attorneys.
• Schedule follow-up reminders for assigned attorneys.
• Document actions in the practice management system.
• Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records.
• Prepare reports and analyze accounts receivable status for management review.
• Answer all attorney/patient inquiries pertaining to assigned accounts.
• Carry out collection and reporting activities according to specific deadlines.
• Collaborate with teams and the Director to discuss account statuses, challenges, and collection strategies periodically.
• Maintain confidentiality of patient and legal information in accordance with HIPAA regulations and ethical standards.

Job Requirements:

• Proven experience as a Medical Accounts Receivable Specialist or Legal Accounts Receivable Specialist, preferably in a healthcare setting.
• Familiarity with medical and legal billing software (e.g., Nextgen) and proficiency in modern IT software (e.g., Microsoft Office Suite, Excel, PowerPoint, Salesforce, Word, etc.).
• Strong understanding of medical billing processes, including CPT and ICD-10 coding, and legal billing practices.
• Exceptional communication and interpersonal skills, with the ability to interact professionally with healthcare providers, legal professionals, and patients.
• Excellent attention to detail and the ability to maintain accuracy in billing records.
• Customer service skills for interacting with attorneys and patients regarding payments.
• Ability to work well in a team environment, prioritize tasks, and multitask efficiently.
• Strong organizational and time-management skills.
• Problem-solving skills to research and resolve discrepancies and collections.
• A calm manner and patience when working with patients and attorneys.
• Knowledge of legal terminology and procedures related to healthcare billing is preferred.
• Understanding the collection process, including when to call attorneys, follow up, confirm balances, and obtain proof of payment from attorneys.
• Maintain patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Preferred Qualifications:

• A minimum of two (2) years of experience in a healthcare billing/accounts receivable environment or related field, or any combination of education, training, or experience in a healthcare business office environment.