Medical Billing and Collections Specialist
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Accentuate Staffing is currently recruiting for a Medical Billing and Collections Specialist to join a pharmaceutical Infusion company located in the area. This position will initially be onsite for training and will have the ability to work a hybrid schedule after being trained. The Medical billing and collections specialist will perform pre-delivery phone calls to patients to discuss their insurance coverage, deductibles, OOP, and set up a payment plan if needed. Creates invoice for each new patient, if necessary, to include in first drug delivery to patient.
Responsibilities:
- Establishes and maintains tracking system and makes follow up patient phone calls for payments
- Posting of payments into CPR Software from Insurance carrier and /or payments from patients
- Answers the telephone and triages to appropriate person as indicated.
- Participates in department QA activities as requested.
- Attends designated department meetings as scheduled
- Perform phone calls to elicit monthly payments from previous established payment plans
- Bills other payers including MD office accounts for Drugs / Supplies dispensed
- Billing of credit card charges for patients via On-line merchant platform
- Works closely with our outside billing service as needed for cash posting/ EOB issues
- Monitors claim rejection EOB’s in Mail and forward to billing company in a timely manner
- Provide clinical documentation to payers when requested
- Ongoing billing of Medicare Part-D Drug claims to payers and
- Monitors and acts quickly on Part-D denials in a timely manner
- Work closely with in-house A/P department for cash posting procedures
Requirements:
- Associate Degree is preferred
- Must have 2-3 years of medical billing and collections experience
- Pharmacy Billing is a plus
- Medicare Part-D experience is strongly preferred
- Strong Customer service skills are required
- Must be proficient with MS Office
