Insurance Billing Specialist

Overview:

Under general supervision, the Insurance Billing Specialist is responsible for a variety of tasks relating to claims processing, collections & account follow-up. The Insurance Billing Specialist also contacts insurers, third-party administrators and responsible parties to resolve accounts issues.

Responsibilities:

• Ensures all levels of insurer / governmental claims have been filed and are paid in a timely manner
• Investigates, corrects errors, and resolves all past-due accounts
• Communicates with insurers / governmental agencies representing LifeLinc
• Answers inquiries by phone and/or email from patients and/or payors regarding billed information related to payor policies
• Working Accounts Receivable weekly - starting with the most aged accounts – and has the ability to file reconsiderations and appeals with insurers / governmental agencies
• Works all claim denials and report all trends and issues to team leads
• Performs other duties as assigned

Qualifications:

• High school diploma or General Education Degree (GED)
• Two years or more experience in healthcare revenue cycle, denials management, revenue integrity, medical records, follow-up, hospital business office or physician practice office. Candidates with CBO experience are preferred
• Knowledge of & experience with health care information system technology
• Understanding of healthcare care billing & revenue cycle operations
• Proficient in all Microsoft Office applications
• Analytical strengths and attention to detail
• Familiarity with CPT-4 and ICD-10 coding
• Excellent computer skills
• 10-key by touch