High school diploma or equivalent is required. Minimum of five (5) years Medical Insurance/Healthcare Billing and Collections experience in a medical practice or health system, with a deep understanding of medical billing rules and regulations. Two (2) years supervisory or management experience preferred. Prior experience with an electronic medical record system required. Extensive computer knowledge is required.
Thorough understanding of medical billing, collections and payment posting, revenue cycle, third party payers, Medicare; strong knowledge of Federal payer regulations. Working knowledge of CPT and ICD9 codes, HCFA 1500 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits and appeal processes. Sufficient knowledge of policies and procedures to accurately answer questions from internal and external customers. Possess excellent negotiation skills, including the tact required for securing payment or discussing patient's finances, and enjoy working in a health care setting. Up to date with health information technologies and applications. Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public. Skill in developing, implementing, and administering work processes. Detail oriented and tolerant of frequent interruptions and distractions from patients and staff. Effectively communicate with physicians, patients, insurers, colleagues and staff.
Full Time - Tyler