The Medical Billing Specialist is responsible for posting charges and receipt of payment for all medical services rendered by Pediatric Associates of Alexandria. Employees are accountable for managing their accounts throughout the entire collections process. Prompt submission and follow-up of all claims are essential. Persistency is vital to avoid slow payment and reduced or lost revenue.

Responsibilities include posting insurance, patient, and credit card payments daily; completing claim forms; submitting patient statements and claims; managing claims submission with minimal errors; maintaining electronic claim records; following up on all claims via website, phone, or correspondence to ensure timely payment; monitoring insurance and patient accounts; identifying payer trends and non-payment issues; researching billing requirements; staying updated on policy changes; attending in-services by plan representatives; establishing billing guidelines; running reports; processing adjustments and refund requests; appealing unpaid claims; protecting patient confidentiality; collecting account balances and arranging payments; identifying patients who qualify for hardship services; assisting patients with reimbursement explanations; attending meetings and continuing education; and performing other tasks as assigned by management.

Performance is evaluated on professionalism, compliance, accuracy, attendance, ethical standards, and honesty.