Billing Specialist I

Billing Specialist I

Dade City, FL

General Description

The Billing Specialist I processes patient and insurance billing payments for services rendered at Premier Community HealthCare Group. This position provides support in all areas of the billing department and plays a key role in maintaining accurate financial records and ensuring a positive patient financial experience.

Essential Duties & Responsibilities

• Post and reconcile payments and denials; perform daily balancing and close activities
• Work directly with patients regarding accounts and insurance claims; initiate refund requests when appropriate
• Assist with site daily balancing and preparation of bank deposits
• Escalate complex billing issues or patient concerns to leadership as appropriate
• Promote and model Premier's Core Values and service excellence
• Ensure compliance with safety, regulatory, and organizational policies
• Maintain strict confidentiality and HIPAA compliance
• Communicate issues that may impact patient flow or billing processes
• Participate in Quality Improvement / Quality Assurance (QI/QA) initiatives
• Support department goals and contribute to community engagement initiatives
• Perform other duties as assigned

Knowledge, Skills & Abilities

• General understanding of billing processes and revenue cycle procedures
• Knowledge of billing regulations and best practices
• Strong attention to detail and commitment to accuracy
• Adaptability to evolving regulations, technology, and workflows
• Professional demeanor and positive attitude
• Strong verbal and written communication skills
• Excellent grammar and interpersonal skills
• High ethical standards and strict confidentiality
• Demonstrated empathy and customer service skills when working with diverse patient populations

Qualifications

• High School Diploma or GED required
• Proficiency in computer systems and office software
• Ability to obtain and maintain Epic certification and complete annual compliance training

Working Conditions & Physical Requirements

• Ability to lift 20 lbs. regularly and 30-50 lbs. occasionally
• Ability to sit for extended periods
• Direct exposure to computer screens
• Possible exposure to contagious or infectious diseases