Medical Billing and Coding Specialist

Ophthalmic Surgeons & Consultants of Ohio, Inc. - Columbus, OH
Posted: October 29, 2018

DEPARTMENT: Business Office

REPORTS TO: Administrator

JOB SUMMARY: This individual is responsible for billing, follow-up and collections of all insurance claims; maintaining correspondence with carriers, and documentation regarding same;  working with supervisor of the accounts receivable department to review problem accounts and identify necessary action to be taken.

EDUCATION AND EXPERIENCE:

  • High School diploma or equivalent.
  • Two years minimum experience in medical office; billing and collections experience preferred.

ESSENTIAL SKILLS AND ABILITIES:

  • Excellent communication skills, written and oral.
  • Strong organization skills with attention to detail.
  • Excellent follow-up skills.
  • Management of multiple tasks simultaneously.
  • Work as a team player by demonstrating ability to work well and get along with co-workers.

RESPONSIBILITIES:

  • Files, reviews, and follows up on insurance claims.
  • Corrects and/ or writes appeals on denials.
  • Follows up on delinquent insurance claims.
  • Follows up on and corrects problems with billing.
  • Assists patients with billing problems to include office, hospital, laboratory, and other office billing problems.
  • Answer billing inquiries from patients, insurance companies, and attorneys via telephone and written correspondence.
  • Assist with collection activities in an efficient manner.
  • Obtain pertinent reports as requested.
  • Apply knowledge of various insurance plans.
  • Able to obtain an authorization or precert if required.
  • Checks accuracy for insurance and demographics in registration.
  • Is able to do all adjustments correctly.
  • Must be able to answer billing questions correctly and make own sound decisions.

Other Duties assigned But Not Limited To:

  • Help out Front Desk when called upon.
  • Check insurance eligibility
  • Check for authorizations for procedures
  • Collect past due balances from patients
  • Make payment plans when needed.
  • Charge entry
  • Payment posting

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Ophthalmic Surgeons & Consultants of Ohio, Inc.

Ophthalmic Surgeons & Consultants of Ohio, Inc.

Columbus, OH

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