Job Summary
The Billing Specialist is responsible for the practice's financial intake, striving for accuracy in every aspect of dental and medical billing.
Essential Functions/Responsibilities:
All shall be performed in accordance with OSHA, DEA, HIPAA, and NPOS guidelines and expectations.
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Working directly with the insurance company, NPOS Insurance Verification Coordinator, and patient to get a claim processed and paid
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Obtain all necessary patient demographic, insurance and financial information necessary for billing
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Coordinates the patient's insurance verification information, obtained by the NPOS Insurance Verification Coordinator, to produce and submit claims to insurance companies.
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Responsible for the preparation and explanation of treatment plan cost estimates to patients.
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Responsible for making financial arrangements with patients (I.e. self-pay, co-payments, deductibles)
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Evaluates patients' financial status and establishes budget payment plans only when absolutely necessary. This requires mandatory approval by the Business Manager.
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Assist patients with financial arrangements with financial institutions such as Care Credit, Medical Bureau, etc.
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Make arrangements with NPOS Patient Care Coordinators when it is necessary to collect fees from a patient seen in the office
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Accurate and complete data entry and coding, into the electronic patient record, of all patient information necessary to produce and submit claims to insurance companies
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Prepare and submit accurate and complete claims to various insurance companies
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Perform day-to-day financial transactions including: verifying, classifying, computing, posting and recording accounts receivable data, etc.
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Review and appeal unpaid and denied claims
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Resubmit claims of patient account balances to secondary insurance &/or third party payer
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Prepare, review and send patient billing statements
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Assist patients, staff and insurance companies with billing inquiries
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Assist and resolve patient billing issues/complaints by appropriate means
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Assist implant coordinator with compiling and presenting implant patient feeds
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Process payments and assist in the daily preparation of the bank deposit, under the supervision of the Business Manager
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Verify billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted
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Reviews unpaid/delinquent patient accounts, makes recommendations to the Business manager, prepares information for the collection agency when instructed.
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Facilitate swift payment of invoices due to NPOS by sending bill reminders and making collection calls on outstanding accounts
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May assist the Patient Care Coordinators with patient scheduling
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Maintain a working knowledge of the responsibilities involved in scheduling hospital cases in the event of the absence of the NPOS Hospital Coordinator
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Under the direction of the Business Manager, on occasion will be responsible for traveling to other NPOS office locations as staffing needs necessitate for the best interest of office function
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Participate in the orientation of employees to the duties of the billing specialist under the supervision of the Business Manager
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As needed, perform duties delegated by the Business Manager, &/or NPOS Doctors that contribute to the NPOS team effort in accomplishing related results for the best interest of office function