Review and manage accounts receivable for ENT services, ensuring timely follow-up on unpaid claims and patient balances.
Submit and track insurance claims for office visits, diagnostic procedures, allergy testing, surgeries, and audiology services.
Research and resolve denials, rejections, and underpayments by coordinating with payers and providers.
Post insurance and patient payments accurately, reconciling daily deposits and balances.
Communicate with patients regarding balances, payment plans, and financial assistance options.
Verify insurance eligibility and coverage for ENT-related services and procedures.
Maintain accurate and up-to-date patient account documentation in billing/EMR systems.
Ensure compliance with HIPAA, payer regulations, and internal billing policies.
Assist in preparing AR reports and identifying trends to improve collections and reduce denials.
Collaborate with coding, billing, and front-office teams to resolve account discrepancies.
High school diploma or GED required; Associate’s degree in business, healthcare administration, or related field preferred.
1–3 years of experience in medical billing, AR, or revenue cycle management (ENT or specialty practice experience preferred).
Strong knowledge of medical billing codes (ICD-10, CPT, HCPCS), with familiarity in ENT and audiology codes a plus.
Proficiency in EMR/EHR and practice management software.
Excellent organizational, analytical, and communication skills.
Ability to manage high-volume AR in a fast-paced environment.