Billing Specialist
Audigy Group - San Jose, CA

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POSITION SUMMARY:

The Insurance
Verification and Biller is responsible for independently performing the all
hearing aid insurance billing and verifications in addition to managing the A/R
for the practice. The Insurance
Verification and Biller is responsible and able to answer patient questions
regarding billing, insurance claims, and advertising promotions. The Insurance Verification and Biller also possess
a complete understanding of hearing aid insurance codes and implements changes
to maximize the profits of the practice in this area.

When needed,
the Insurance Verification and Biller may be asked to back up for the Front
Office Staff and may greet customers, answer the phones, schedule appointments,
complete administrative processing and recordkeeping.

The position
supports the mission of the clinic by demonstrating excellent customer care and
incorporating sound accounting responsibilities.

Responsibilities:

PRIMARY JOB FUNCTIONS

Accounting
functions
  • Maintains
    and is responsible for the performance in the areas of insurance billing, accounts
    receivables and/or accounts payable.

  • Insurance
    Verification and Biller is able to independently manage and execute A/R
    responsibilities.

  • Creates
    or executes financial reports as needed.

  • Processes
    and files insurance claims, including submitting appropriate information
    to the insurance carriers, and requests third party prior authorization as
    needed.

  • Assists
    patients with insurance related problems, questions, or concerns.

  • Designs
    and executes collection processes including creating efficiencies as
    needed.

  • Posts
    charges, returns, and exchanges in the accounting system.

  • Submits
    appropriate information to the insurance carriers, and requests third
    party prior authorization as needed.

  • Works
    with insurance, or other agencies to facilitate authorizations and benefit
    verification.

  • Generates
    customer bills after receiving Explanation of Benefits information from
    the insurance carriers.

  • Re-issues
    bills if account is 30 days overdue.

  • Contacts
    customers who have accounts that are 60 days overdue, and may initiate
    collections procedure.

Customer
Service
  • Retrieves
    phones messages and prioritizes return phone calls.

  • Answers
    Medicare, private insurance, and other insurance questions for customers.

Miscellaneous duties
  • Completes
    all insurance filing.

  • Prepares
    daily, weekly and monthly reports as directed.

  • Creates
    new reports according to the needs of the practice.

Qualifications:

JOB SKILLS, KNOWLEDGE AND ABILITIES:
  • Must
    also have knowledge, experience, and understanding of ICD-9 and CPT-Coding, and
    ICD-10 Coding knowledge and experience would be preferred.

  • Associates
    Degree or Bachelor’s degree in Accounting, Finance, Business or related field.

  • Prior
    Hearing Aid Insurance Billing experience is strongly preferred but not
    required.

  • Accomplished
    accounting and QuickBooks skills.

  • Sycle
    experience is preferred but not required

  • Two
    plus years experience in accounting, preferably with QuickBooks experience.

  • Proficient
    in Microsoft Office, with advanced knowledge of Excel and QuickBooks.

  • Adept
    at multi-tasking in a fast-paced environment.

  • Excellent
    interpersonal skills that allow effective working relationships with a diverse
    population.

  • Passion
    for working in a growth-oriented field, with the ability to demonstrate
    personal commitment and drive to set and exceed high standards is a plus.

Audigy Group - 20 months ago - save job - block
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