Medical Billing Specialist – Private Practice

About the Company

Grand Central Medical Centre is a leading general practice in Toowoomba, Queensland, dedicated to providing comprehensive and compassionate healthcare services to our community. With a team of experienced doctors, nurses, and allied health professionals, we offer a wide range of services, focusing on patient-centered care and utilizing modern medical technologies. We are committed to fostering a supportive and professional environment for both our patients and our staff.

Job Description

We are seeking a diligent and experienced Medical Billing Specialist to join our thriving private practice in Toowoomba. The ideal candidate will be responsible for managing all aspects of the billing cycle, ensuring accuracy, compliance, and timely processing of claims. This role is crucial to the financial health of our practice and requires a strong understanding of Australian medical coding, insurance regulations, and patient billing procedures. You will play a key role in maintaining efficient revenue cycles and providing excellent administrative support.

Key Responsibilities

• Process and submit medical claims accurately and efficiently to insurance companies and government payers (e.g., Medicare, DVA, private health funds).
• Review and verify patient demographic and insurance information for accuracy and completeness prior to billing.
• Manage accounts receivable, including proactive follow-up on unpaid claims, appeals for denied claims, and resolution of billing discrepancies.
• Respond to patient billing inquiries and resolve issues professionally and empathetically.
• Maintain up-to-date knowledge of Australian medical billing and coding regulations, including MBS item numbers and private health fund rules.
• Generate financial reports related to billing activities, outstanding claims, and payment trends.
• Assist with patient payment plans and collections, adhering to practice policies and ethical guidelines.
• Collaborate closely with clinical staff to ensure accurate documentation for billing purposes and resolve any discrepancies.
• Reconcile payments received from payers and patients.

Required Skills

• Minimum 2 years of experience in medical billing within an Australian private practice setting.
• Proficiency in medical billing software (e.g., Best Practice, MedicalDirector).
• Strong understanding of Australian medical billing codes (MBS) and DVA billing.
• Excellent data entry skills with a high degree of accuracy and attention to detail.
• Ability to interpret Explanation of Benefits (EOBs), remittances, and denial codes.
• Exceptional organizational and time management skills.
• Strong verbal and written communication skills.
• Ability to work independently and as part of a team in a fast-paced environment.

Preferred Qualifications

• Certificate III or IV in Medical Administration, Health Administration, or a related field.
• Experience with integrated practice management systems and electronic health records (EHR).
• Proven ability to identify and implement process improvements to enhance billing efficiency and reduce claim denials.
• Knowledge of various Australian private health insurance schemes and their specific billing requirements.

Perks & Benefits

• Competitive salary package and superannuation.
• Supportive, friendly, and collaborative team environment.
• Opportunities for continuous professional development and training.
• Access to modern practice facilities and technology.
• Employee assistance program for personal and professional support.
• Discounted medical services for staff and immediate family members.

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