Billing Specialist

POSITION SUMMARY: We are looking for a goal oriented, revenue driven, highly accurate and motivated biller to join our team. The Billing Specialist will review charges submitted and process claims for payment and application of the sliding fee schedule. This includes resolving internal claim edits to ensure claims are submitted cleanly including adjustment claims, correction of rejections and/or denials. This position is also responsible for responding to patient billing inquiries. Secondary duties include, but are not limited to: entry of patient demographic information, guarantor and insurance information and patient payment processing.

POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES

• Computer proficiency particularly experience using practice management software, word processing and spreadsheet applications, with a minimum of 40 wpm typing speed and 10-key by touch
• Experience in CPT and ICD-9 coding
• Timely follow-up on insurance claim denials, exceptions or exclusions with experience in filing claim appeals with insurance companies to maximize entitled reimbursement
• Ability to submit all claims with minimal to no errors, and verify completeness and accuracy of all claims prior to submission
• Ability to read and interpret insurance explanation of benefits
• Meet regularly with Revenue Cycle Team to discuss and resolve reimbursement issues or billing obstacles, and attend monthly staff meetings and continuing educational sessions as requested
• Ability to manage relationships with various insurance payers
• Responsible and professional use of confidential information with the ability to make necessary arrangements with medical records for the completion of additional information requests, etc. as requested by insurance companies
• Perform to company compliance standards with policies and procedures
• Excellent customer service skills
• Kempt appearance with satisfactory dictation and demeanor, and a positive attitude
• Other duties as assigned.

POSITION REQUIREMENTS

• Education: High School diploma or equivalent required. Associates Degree in Medical Billing and Coding preferred. Two years of billing experience strongly preferred.
• Experience: Computer proficiency
• Expertise: Strong interpersonal and organizational skills, Proficient verbal, written, and reporting, Microsoft applications (experience with Excel required), internet, email. Experience collecting, reviewing, and presenting data. Good record keeping methods. Ability to achieve measureable outcomes. Ability to manage time, multi-task, and work with patients, clients, and fellow employees. Familiarity with medical terminology
• Language: English fluency
• Work Hours: Monday -Friday 8:00am - 7:00pm (flexible)
• Travel: Minimal
• Exposure: The exposure characteristics described here are representative of those an employee encounters while performing the essential functions of this position. For example, while performing the essential functions of this job, the employee seldom is exposed to fumes or airborne particles and toxic or caustic chemicals. Additionally, the employee may occasionally be exposed to blood borne and other hazardous chemicals. Finally, the noise level in the work environment can seldom be quite loud. In all cases personal protective equipment will be provided to the employee in combination with adequate ventilation and other engineering controls to minimize the risk of exposure or other hazardous occurrence
• Physical: Reasonable accommodation may be made to enable individuals with special challenges to perform these essential functions.