The Ear, Nose, Throat and Plastic Surgery Associates · 9 hours ago
Billing Specialist
United States
Full-time
Remote
Mid Level
3+ years expThe Ear, Nose, Throat & Plastic Surgery Associates has been providing quality patient care since 1958. The Billing Specialist will be responsible for communicating with patients and insurance carriers to ensure claim integrity and resolve billing inquiries.
Cosmetic SurgeryHealth CareHospitalPersonal Health
Responsibilities
Serve as a primary point of contact for inbound patient billing calls, resolving inquiries and discrepancies
Ability to complete a gap analysis and identify root causes of issues/errors in all workflows suggesting process improvement to gain efficiencies and create a culture of quality
Ability to research and accurately utilize technology – payer portals, lockbox, clearinghouse, practice management & EHR billing system, Microsoft, Email, Teams, Word, Excel, PowerPoint
Establish and maintain a high level of customer satisfaction, professionalism, and courtesy during all transactions
Consistently meet or exceed weekly and monthly performance metrics of production, quality, and attendance and department key performance indicators (KPI) set for role
Daily reconciliation and reporting required to include production/performance self-reporting
Responsible for accurate and timely data entry of charges, payments, adjustments, edits, denials, underpayments, overpayments, or no payer response claims, etc
Ability to learn and master billing system regarding all aspects of data entry, billing inquiries, and other tools and functions
Have a full understanding of and consistently demonstrate proficiency at explaining all services to insurance carriers and patients
Other duties as assigned based upon role, inventory, and changing business needs
Collaborate and partner with team and other departments to resolve patient and/or insurance issues
Follow ENTPSA policies & procedures, including but not limited to letter generation, collection phone calls and standard appeal template documentation
Responsible for peer training and quality assurance, when needed
Follow corporate collection policies & procedures, including but not limited to, letter generation, collection phone calls and required collection documentation
Workflows include, but not limited, to the following: Patient Account Billing Line Charge Management - Charge Entry & Charge Approval Payment Posting Overpayment & Non-Contractual Adjustments Accounts Receivable Follow Up & Claim Management Training & Quality Assessment System Configuration & Maintenance Ability to understand claim form logic/claim edits and configure system as appropriate
Ability to update charge master and/or payer fee schedules as appropriate
Qualification
Required
Ability to read, write, speak, and understand English. Spanish is a plus
Ability to work in a remote environment with little supervision
Ability to apply appropriate collection techniques and demonstrate sustained achievement of stated goals
Ability to use personal computer and appropriate software applications to include billing system and other role-related tools
Effective verbal and written communication skill
Effective organizational skills
Ability to prioritize and organize effectively
Ability to show judgment and initiative to accomplish job duties
Ability to perform job at workstation for prolonged periods of time
Must be computer savvy using applications Microsoft Office, Windows PC, Excel, practice management systems, etc
Ability to effectively present information and respond to questions from patients and insurance carriers in a clear, straight forward, and professional manner
Ability to calculate figures and amounts such as discounts, proportions, percentages, and volume
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
3 Years experience or more as a Billing Specialist
High School Diploma required
Preferred
college degree or college credits preferred
RCM or medical billing certification or coding certification such as CPC or CCS-P
Company
The Ear, Nose, Throat and Plastic Surgery Associates
Since 1958, The Ear, Nose, Throat & Plastic Surgery Associates has combined quality patient care with state-of-the-art innovation.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase