Billing Specialist role at Mendocino Community Health Center verifying eligibility and managing claims. Assisting patients with billing inquiries while adhering to performance standards.
Responsibilities
Verifying patient eligibility
Submitting claims
Resolving unpaid and denied claims
Recording payments
Addressing billing inquiries
Collecting payments from patients
Reviewing and working to completion on all billing related reports
Maintaining productivity standards and revenue cycle management standards
Reviewing aging of AR on assigned payers/financial classes monthly
Problem solving common billing, coding and reimbursement issues
Actively following up with payers on open insurance claims
Effectively working with external third party payer representatives to validate and correct information
Reviewing accounts and applying billing knowledge for proper reimbursement
Requirements
One or more years of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience
Medical billing college classes, medical billing certification, or related medical billing experience is preferred
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