POSITION SUMMARY

The billing specialist’s job description involves computing balances, recording billing payments and compiling account statements for a company. He/she can also be responsible for preparing invoices for the delivery of services rendered. Other duties they may perform include calculating penalties, interest and late fees for clients who are past due on their payment and accounts.

Primary Job Responsibilities:

• Review insurance denials for potential trends and payer issues

• Submit corrected claims to payers

• Work denied claims in assigned aging bucket

• Call payers to reprocess claims denied in error

• Post patient and insurance payments to the EHR

• Scrub Psychiatry and Medical claims to ensure proper coding of procedure codes and diagnosis

• Collaborate with Front Desk and call center staff on patient insurance and balance questions

• Verify insurance 48 hours before patient appointments to determine eligibility

• Make calls to patients to facilitate collectability and resolve insurance issues

• Receive patient calls regarding billing questions and resolve disputes

• Submit past-due unresponsive patient balances to collection agency

• Scan paper EOB results to vendor

• Practices active listening skills and exceptional customer service skills

• Other duties assigned as needed

QUALIFICATIONS

Education, Certification, and Experience Requirements

• Associate degree or combination of equivalent education and experience.

• Knowledge of HIPPA requirements related to medical records and billing

• Exceptional communication and time management skills

• Experience with EHR systems preferred

• Requires exceptional attention to detail

• Ability to work independently