Job Title: Bookkeeper - Medical Billing and Explanation of Benefits Reconciliation/Accounts Receivable
Overview: We are seeking a meticulous and experienced Bookkeeper to join our team, specializing in medical billing and reconciliation of Explanation of Benefits (EOB). The ideal candidate will have a strong background in bookkeeping procedures, particularly within the healthcare industry, with a focus on accurately managing medical billing records and reconciling EOBs. This role requires excellent organizational skills, attention to detail, and proficiency in relevant software applications.
Responsibilities:
1. Medical Billing Management:
Generate and submit medical claims to insurance companies promptly and accurately.
Verify patient insurance coverage and eligibility.
Ensure compliance with medical billing regulations and standards.
Address any billing discrepancies or issues promptly and efficiently.
2. Explanation of Benefits (EOB) Reconciliation:
Receive and review EOBs from insurance companies.
Match EOBs with corresponding medical claims and invoices.
Reconcile payments, adjustments, and denials with billed amounts.
Investigate and resolve discrepancies between EOBs and billed amounts.
Communicate with insurance companies to clarify EOB details or contest denials when necessary.
3. Financial Recordkeeping:
Maintain accurate and up-to-date records of medical billing transactions.
Enter billing data into accounting software systems.
Generate reports on billing activity, collections, and outstanding balances.
Assist with month-end and year-end financial closing procedures.
4. Communication and Collaboration:
Collaborate with healthcare providers, administrators, and insurance representatives to address billing inquiries and resolve issues.
Provide guidance and support to staff regarding billing procedures and documentation requirements.
Communicate effectively with patients regarding billing inquiries, payment options, and insurance matters.
5. Compliance and Regulatory Adherence:
Stay informed about changes in medical billing regulations, coding guidelines, and insurance policies.
Ensure compliance with HIPAA regulations and patient confidentiality requirements.
Implement best practices to optimize billing efficiency and accuracy while minimizing compliance risks.
Requirements:
Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field preferred.
Proven experience as a Bookkeeper or similar role, with a focus on medical billing and EOB reconciliation.
Proficiency in medical billing software (e.g., Epic, Medisoft, Kareo) and accounting software (e.g., QuickBooks, Xero) preferred
Strong understanding of medical billing codes, insurance claim submission processes, and reimbursement methodologies (e.g., CPT, ICD-10, HCPCS).
Excellent analytical skills and attention to detail.
Strong communication and interpersonal skills, with the ability to collaborate effectively with internal and external stakeholders.
Professional certification in medical billing and coding (e.g., Certified Professional Biller, Certified Medical Reimbursement Specialist) a plus.
Join Our Team: If you are a detail-oriented and proactive professional with a passion for accuracy and compliance in medical billing and reconciliation, we encourage you to apply for this exciting opportunity. Join our team and contribute to the success of our healthcare organization while making a positive impact on patient care. We are willing to train the right person. Please apply even if you do not have all the preferred experience.
This job is for two days per month. Please email your resume and a cover letter. Please explain in your cover letter why you are looking for part time work verses full time.
