Billing specialist is responsible for billing and follow-up. This position will work with other staff in the organization to ensure we get accurate information on claims. This position promotes revenue integrity and accurate billing and collections on accounts. Additionally this person will help with any duties assigned to help accounts receivable.
Principal Duties And Responsibilities
Ensures that timely, accurate billing and follow-up practices are occurring in accordance with payer requirements
Conducts quality audits of patient demographic information and insurance eligibility
Performs routine quality assurance checks of claims prior to submission to prevent denials; regularly tracks rejected claims and initiates correction, follow up or appeals processes as appropriate
Works with managers to get accurate information back to the billing team
Resolves bill holds on accounts
Reviews aged claims and assist billers with claim submission as needed
Responds to patient concerns and/or complaints on a routine basis and keeps Insurance Supervisor apprised of these issues
Actively works Credit Balance report; Issues refunds when necessary
Assist in any follow-up billing that needs to take place
Other duties as assigned
The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
Position Qualifications
Education
Billing Certification preferred
Experience
2 years of experience in hospital and/or physician accounts receivable management, including experience billing
Knowledge, Skills, Abilities
Proficient in Microsoft Office products especially Excel
Expertise in accounts receivable management and hospital billing
In-depth understanding of HIPAA regulations and proven ability to ensure confidentiality with respect to sensitive information
Strong interpersonal abilities, including exceptional written and verbal communication and mediation skills
Proven leadership skills and ability to gain cooperation and support from a diverse body of individuals
Demonstrated analytical skills necessary to provide timely resolution of day-to-day issues
Highly dependable in both production and attendance
Exceptional organization and time management skills
Seniority level
Entry level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care
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