Job Description
Job Functions
- Collaborate with various departments to compile accurate and complete patient billing information.
- Verify insurance information and communicate with HMO representatives to ensure accurate coverage details.
- Generate and process invoices, claims, and billing statements for HMOs.
- Review and reconcile payments, identifying discrepancies and resolving issues in a timely manner.
- Maintain updated records of patient information, insurance policies, and billing history.
- Provide excellent customer service by addressing billing inquiries and concerns from patients and HMOs.
- Stay up-to-date with healthcare industry regulations and HMO policies to ensure compliance in billing processes.
Required Skills & Qualifications
- Bachelor's Degree in Healthcare Administration, Business, Finance, or related field (or equivalent work experience).
- Proven experience in medical billing, particularly with HMOs and insurance companies.
- Minimum of 1 year relevant work experience.
- Strong understanding of healthcare billing procedures, coding, and documentation requirements.
- Excellent communication and interpersonal skills for effective collaboration with internal teams and external stakeholders.
- Proficiency in using Microsoft Office Suite.
- Detail-oriented mindset with the ability to accurately process and analyze complex billing data.
- Problem-solving skills to address billing discrepancies and resolve issues effectively.
- Familiarity with medical terminology.