Billing Specialist

Description

A non-exempt medical office position responsible for supporting the billing, registration, and financial processes for an anesthesia physician group. This position ensures accurate data entry, charge capture, claim submission, and resolution of billing issues in compliance with Tenet Physician Resources policies and federal regulations.

Responsibilities

• Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
• Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
• Registers patients accurately, collects demographic information, verifies insurance eligibility, and enters data into the electronic system.
• Accurately enters anesthesia charges in a timely manner and prepares clean claims for submission to commercial, government, and managed care payers.
• Reviews and works practice claim edits, and denials to ensure prompt resolution and correction of billing errors.
• Collects pre-payments, and reviews delinquent insurance and patient balances to initiate collections.
• Responds to billing inquiries and provides clear, courteous communication to patients, providers, and insurance representatives.
• Reviews and investigates rejected or denied claims, documenting actions taken and collaborating with the team to prevent recurrence of similar denials.
• Answers office phones promptly, returns calls or messages by close of day, and assists patients with billing-related questions or routes calls appropriately.
• Additional responsibilities as needed.

Qualifications

Education

• High school diploma or GED required.
• Completion of a medical billing or medical office assistant program preferred.

Certification

• Certification in healthcare management, billing, or administration preferred.

Experience

• Minimum of 2 years of experience working in a medical office or billing department.
• Prior experience in anesthesia or procedural specialty billing strongly preferred.