Job description

OPPORTUNITY

Ohio Plastic Surgery Specialists is seeking an experienced, results-oriented Medical Billing and Accounts Receivable Specialist to add to our growing team. Our small but very busy Practice, led by renowned plastic and reconstructive surgeon, Dr. Walt Bernacki, is well-known throughout central Ohio for its exceptional patient care and life-changing surgical and non-surgical outcomes. Every member of our family-like team is valued and recognized for the contributions they make to our Practice as well as the positive impact they have on the lives of our patients.

JOB DESCRIPTION

The Billing/AR Specialist’s primary responsibility is to maximize the Practice’s cashflow by minimizing accounts receivable. The Billing/AR Specialists responsibilities include, but are not limited to, the following:

Billing

· Work with reception to regularly collect and update (in EMR) patient insurance information and demographics.

· Create all bills in EMR per established SOP.

· Ensure first-time claims are clean (without error that could or do result in rejection).

· Monitor claims submissions, resolutions and re-submission activities of 3rd party biller and escalate issues in order to meet established success metrics.

Accounts Receivable

· Resolve all rejected claims and communicate resolutions to 3rd party biller within one week of notification.

· Review patient accounts for possible assignment to collections; send past due accounts to collections per SOP.

· Recommend changes to fee schedules to maximize overall revenues.

Administrative

· Regularly audit and maintain patient supporting documentation files, insurance information, and demographics in EMR.

· Ensure pre-determinations/pre-certifications are conducted, status of such is communicated to patient, and all pre-authorization information is accurately captured in the EMR.

· Reconcile and post all patient and insurance payments, EOBs in EMR in timely manner (weekly).

· Oversee performance of 3rd party biller; report any concerns to supervisor.

· Receive and deposit all cash receipts daily.

· Balance daily batches and reports.

· Ensure that Provider(s) maintain current credentials and licenses; monitor upcoming renewal dates and assist in completing required steps to maintain their credentials.

Patient-Facing

· Research and respond to patients by phone and/or in writing regarding billing inquiries/issues/complaints.

Operational

· Maintain up-to-date list of the Practice’s account numbers, passwords, etc.

· Establish and document processes (SOPs) for own areas of responsibility (billing, collections.

· Ensure Provider and Practice credentials up to date and accurate.

· Ensure Provider Enrollments up to date and accurate with each payer.

· Constantly streamline billing procedures and processes to ensure clean billing and timely payments.

Reporting

· Reconcile receipts in EMR with 3rd party biller/clearinghouse and bank accounts on weekly basis.

· Perform hard close in EMR at the end of each fiscal month.

· Prepare financial reports for Office Manager and CPA.

· Review and analyze payments and adjustment history, by payer, to ensure the Practice is achieving maximum reimbursement for services provided.

Other

· Participate in educational activities and attends staff meetings.

· Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.

· Assist in development and communication of SOPs throughout the Practice to improve accuracy and understanding or processes.

· Participate in a variety of clerical duties, including telephone reception, mail distribution, and other routine Practice functions.

REQUIRED QUALIFICATIONS

· Minimum 5 years’ experience successfully overseeing billing and accounts receivable for private medical practice.

· Proficient in medical coding.

· Experience with Provider credentialing.

· Proficient in Microsoft Office applications (Word, Outlook, Excel, PowerPoint).

· Proven ability to create and navigate spreadsheets, make calculations, etc.

· Proficient using Nextech, Epic, Praxis EMR or other EMR/EHR software.

· Excellent problem-solving skills: ability to arrive at and present win-win solutions.

PREFERRED QUALIFICATIONS

· Associate’s or Bachelor’s degree in business administration, finance or accounting or equivalent combination of education and experience.

· Billing experience in Plastic Surgery practice.

· Experience working in Nextech.

· Experience working with third-party billers.

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT

· Spend approximately 90% of time sitting at a desk, looking at a computer monitor, typing on a keyboard, talking on a phone handset or headset.

· Spend approximately 10% of time maneuvering between offices, greeting patients in the waiting area, answering incoming phone calls, and cleaning and tidying various areas and rooms.

· Ability to safely lift boxes of files or supplies weighing up to 25 pounds.

HOW TO APPLY

· Follow these instructions exactly:

· Start an email with the phrase “Medical Billing Specialist” in the subject line

· In the body of the email answer these two questions:

o What about your experience makes you the perfect fit for this position?

o Why are you interested in joining our team?

· Attach your current resume to the email

Send the email to hiring(at)ohplasticsurgery.com

DETAILS

Location: 1085 E. Johnstown Road

Gahanna, OH 43230

Base Pay: 21.00-$25.00/hour

Benefits:

· Paid time off (after one year)

· Paid holidays

· Medical, dental and vision insurance

· Employer-matched 401K program (after one year)

· Employee Assistance Program (EAP)

· Employee discount on surgical and non-surgical procedures

Full-time: Typical work schedule: 8:30am to 5pm, Monday through Friday

Job Type: Full-time

Pay: $21.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Columbus, OH 43230: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing: 5 years (Required)
• Provider credentialing: 5 years (Preferred)

Work Location: In person

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