Key Responsibilities
- Communicate and collaborate with PCM/CSR to request payment and payment status
- Follow up on unpaid medical insurance claims within standard billing cycle timeframe.
- Review and appeal denied or unpaid medical claims.
- Generate and review statements for legal services related to healthcare billing
- Call patient for all non-responsive Attorneys
- Schedule follow-up reminders while working assigned Attorneys
- Document actions in practice management system
- Collaborate with medical billing and coding staff to resolve discrepancies and ensure accurate billing records
- Prepare reports and analysis of 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 pods and Director to discuss account statuses/challenges and collection strategies on a periodic basis
- 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 (eg, 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 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. Being able to triage priorities and multi-task.
- Strong organizational and time-management skills with the ability to prioritize tasks effectively.
- Problem-solving skills to research and resolve discrepancies and collections.
- A calm manner and patience working with patients and Attorneys during the process.
- Knowledge of legal terminology and procedures related to healthcare billing preferred
- Ability to understand the collection process - when to call Attorneys, when to follow-up, how to confirm balances have been paid, how to obtain proof of payment from the Attorney
- Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA (Health Insurance Portability and Accountability).
Preferred Qualifications
A minimum of two (2) years’ experience in health care billing/accounts receivable environment or related field, or any combination of education, training, or experience in a health care business office environment.