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Billing Resolution Specialist (Georgetown, TX)

Company: Lone Star Circle of Care
Location: Georgetown
Posted on: January 13, 2020

Job Description:

The Billing Resolution Specialist is responsible for answering incoming calls to the Billing Department and responding to patient and insurance requests. They will be responsible for researching the callers needs and responding in a professional and timely manner. They must be able to review a patient account and answer questions related to balances as well as appropriately escalate non-billing related issues. They must be able to pull and interpret patient eligibility and work change in payers both from payer to payer and self-pay to payer, as well as attaching the appropriate payer level and scale to self-pay patients. They must also be able to read the patient account and identify credits, so that they can appopriately transfer activity to bad debt or update account balances as well as create patient and insurance refund requests.

  • Primary duty to answer and respond to incoming calls to the Billing Department
  • Read the patient account within the billing system and go over account information such as balance due with patients
  • Pull Explanation of Benefits and read Explanation of Benefits when necessary
  • Interpret payer eligibility through multiple websites as well as by calling the payer directly
  • Use eligibility information and identify when a change in payer is needed
  • Workload includes multiple reports housed on the Lone Star Circle of Care Intranet
  • Identify patient credits and transfer those credits across the account to cover any bad debt or balances
  • Identify if a patient or insurance credit is valid and submit a refund request or make a refund adjustment
  • Meet daily, weekly and monthly goals and deadlines
  • Assist Billing Specialist on rebilling and/or reprinting of claims
  • File secondary claims both online and via paper when necessary
  • Determine when the patient escalation process is appropriate and follow required procedures, which includes alerting the proper personnel and documenting the escalation
  • Other duties and special projects as assigned related to billing
  • Requires a minimum of a high school diploma or GED
  • At minimum, 1 years of medical billing experience required
  • Customer service experience preferred
  • Bilingual in Spanish preferredExternal Company URL: http://www.lscctx.org/ Street: 205 E. University Ave

Keywords: Lone Star Circle of Care, Georgetown , Billing Resolution Specialist (Georgetown, TX), Accounting, Auditing , Georgetown, Texas

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