Job Title: Billing Specialist
Location: Corporate Office
Travel Required: No
Position Type: Full Time
Reports To: Billing Manager and Practice Manager
Job Description: Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred.
Role and Responsibilities
Administrative
- Prepares and submits clean claims to various insurance companies either electronically or by paper.
- Answers questions from patients, clerical staff and insurance companies.
- Identifies and resolves patient billing questions and complaints
- Prepares, reviews and sends patient statements
- Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts
- Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency
- Research and appeal denied claims
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Works patient and insurance AR
- Helps submit and maintain Provider insurance credentialing
Professional
- Demonstrates initiative and responsibility
- Able to perform repetitive tasks without loss of focus
- Adheres to ethical principles
- Time Management
- Prioritizes and can perform multiple tasks
- Adapts to change
- Attends all team meetings and mandatory in-service training/education
- Basic computer skills
- Type minimum 45wpm
Communication
- Recognizes and respects cultural diversity
- Adapts communication to individual’s ability to understand
- Uses professional, pleasant telephone etiquette
- Uses medical terminology appropriately
- Treats all patients and co-workers with compassion, e-mpathy, and mutual respect
- Projects a professional manner and image
- Consistent attendance and punctuality
- Adherence to time clock procedures
Legal
- Maintains confidentiality and documents accurately
- Uses appropriate guidelines for releasing patient information
- Practices within the scope of education, training and personal capabilities
- Conducts self in accordance with Suncoast’s employee manual.
- Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA
Core Competencies
- Efficiency
- Attention to details
- Organized
- Punctual
- Takes initiative, proactive
- Team Player
- Honesty/Integrity
- Flexible
- Calm under pressure
- “A Doer”, persistence
- Problem solver, Strategic thinking, Creativity
- Analytical skills
- Clear and concise communication/Listening skills
- Quick Learner, Intelligence
- Follow through on commitments
- Enthusiastic, Friendly, Positive attitude
- Openness to advice and constructive criticism
- Strong work ethic
Physical Demands
- Prolonged sitting/walking
- Repetitive motion of head, neck, hands, wrists and arms
- Use of telephone, headset and office equipment such as computers, faxes, scanner copiers
- Multitask position
- Lifting up to 25lbs.
- Extensive reading and writing/typing
Qualifications and Education Requirements:
High school diploma, AA degree or higher. Accounts Receivable and Billing experience preferred. Billing and coding certification a plus, knowledgeable in computer programs, EMR systems, and clinical and billing terminology preferred. Dermatology experience a plus.