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General Summary of Position
MedStar Health is currently seeking a Physician Billing Specialist with experience in OB billing to join the Fetal Assessment Center located at MedStar Harbor Hospital. Schedule includes 10-hour shifts on Monday, Tuesday, Thursday & Friday (dayshift hours). As a Physician Billing Specialist, you will coordinate the accounts receivable billing for hospital-related physician group practices. Maintain statistical data, physicians' payment records, and management analysis reports. Analyze collection performance and monitor payments from third-party payors. Covers for the front office staff as needed. Primary Duties and Responsibilities
Assists patients with billing problems or concerns and acts as liaison with billing company or insurance company.Assists with general office functions, as needed, and covers sick calls for front desk staff.Attends seminars, conferences, classes, etc. to keep up-to-date on current coding, billing, and insurance company issues.Codes diagnosis and procedures to ensure correct reimbursement.Completes physician office billings to insurance carriers. Codes diagnosis and procedures to ensure correct reimbursement.Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.Coordinates and sends collection letters to patients for not showing for appointments. Tracks and logs all this information.Generates EOB forms for deliveries, surgeries, and procedures for physicians to complete for entire practice.AMaintains tracking mechanisms for audit/finance purposes.Identifies outstanding balance accounts from billing company account balance printouts and sends payment letters as a first notice to all patients. Identifies accounts from correction printouts and researches to find mistakes or missing information for rebilling.Maintains and reviews the account Explanation of Benefits (EOB) for proper follow -up and collection practices. Sends all EOBs to billing company after reviewing for correct coding. Receives and corrects EOB's from billing company for missing information, incorrect codes, or other mistakes for resubmitting.Maintains physician calendar for surgeries, office hours, meetings, and appointments..Makes bank deposits for practice and forwards receipts to accounts payable for posting to the practice account.Participates in multi-disciplinary quality and service improvement teams. Participates in meetings and on committees and represents the dept. in community outreach efforts.Performs other duties as assigned.Processes billing and purchase orders for department. Maintains accurate filing system to ensure timely retrieval of information.Reassesses appropriate coding and reimbursement of visits and/or procedures being performed by physicians.Receives, posts, and processes all surgery requests for practice, including preauthorization by insurance, preop testing, informing patients, scheduling with FSMC operating room posting, and faxing pertinent paperwork to hospital.
Minimum Qualifications
Education
- High School Diploma or GED required
Experience
- 1-2 years billing experience required
- 2 years medical secretary experience preferred
- Office management experience preferred
Licenses and Certifications
- CPC (Certified Professional Coder) certification preferred
Knowledge, Skills, and Abilities
- Billing knowledge of ICD-10 and CPT.
- Ability to work independently.
- Verbal and written communication skills.
This position has a hiring range of $18.33 - $31.61
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MedStar Health
Nov 08, 2024