Billing Specialist

Job Title: Billing Specialist          Date Prepared:  February 2021  

JOB SUMMARY: 

Processes insurance; gathers charge information; completes billing process; files insurance claims; performs collection and follow up work. 

ESSENTIAL JOB FUNCTIONS: 

• Generates and submits third party insurance claims and performs follow-up on previously submitted claims. 

• Analyzes outstanding insurance balances; calls insurance companies to inquire on payment needs. 

• Analyzes patient denials for possible re-submission and reports to Revenue Cycle Manage denial trends. 

• Follow up on claims being processed. 

• Post payments in accordance with EOB’s received from insurance carriers. 

• Assists providers with coding procedures to ensure correct billing. 

• Researches all information needed to complete billing process including getting information from providers. 

• Offer training and guidance to fellow employees as directed. 

• Sliding Fee Discount monitoring and upkeep. 

• Participates with other staff to follow up on accounts until no balance or turned over for collection. 

• Assists with patient calls regarding billing questions. 

• Assists with error resolution. 

• Attends meetings as . 

• Follows all CHS policies, procedures, regulatory and legal requirements. 

• Completes required trainings on time.