Billing Specialist

Description

Job Summary:

Rating:

▪ Completes accurate patient registration and charge entry.

▪ Performs patient billing and insurance claims filing.

▪ Accepts and posts payments to accounts.

▪ Resolves patient and insurance credit balances as assigned.

▪ Receives walk in customers and answers phone promptly.

▪ Works aged insurance claims to obtain reimbursement.

▪ Submits payer appeals as necessary and completes follow-up for final resolution.

▪ Pulls records for medical review/subpoena per policy.

▪ Files and retrieves paper and electronic claims and remittance advice reports.

▪ Works claim denials to ensure maximum reimbursement for services provided.

▪ Enters accurate and thorough documentation of pertinent events regarding the handling of the account including research of prior accounts.

▪ Demonstrates and encourages team behavior and exceptional patient/guest experiences.

▪ Upholds and promotes patient safety and quality.

Qualifications

Minimum Knowledge, Skills, Experience Required

Education:

High School Diploma or equivalent.

Experience:

One year working in Medical Billing.

Additional Skills / Abilities:

Must be self-directed / self-motivated; must have good communication and interpersonal skills.  Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure;  (2) work independently; (3) recognize the rights and responsibilities of patient confidentiality; (4) relate to others in a manner which creates a sense of teamwork and cooperation; and (5) maintain a customer focus and strive to satisfy the customer's perceived need.