Billing Specialist

Position Summary

The Billing Specialist is responsible for conducting insurance follow ups on all claims, billing claims and answering patient’s billing questions as needed. As a cross-trained team member, this position will also be expected to float into other areas of the Business Office as directed.  

Essential Job Responsibilities

• Manages billing for Breckenridge Medical Center and Business Office at Stephens Memorial Hospital
•  Runs multiple reports as necessary on AthenaHealth
• Bill all primary insurances, Medicare or Medicaid
• Responsible to assure that all claims billed electronically have been accepted by Medicare/Medicaid or other primary insurances as requested
• Follow all policies and procedures set forth by the hospital.
• Develop and maintain knowledge of all rules and guidelines that are needed to properly and professionally complete job duties.
• Drops claims from previous day
•  Creates list of encounters not completed by Provider/ Missing Slips
• Reviews Work Bucket, Work List, Claims on Hold, MNGR Hold, and denials no later than 72 hours
• Scans and uploads EOB’s to Athena for posting
• Assists patients with billing questions
• Reviews monthly collection accounts
• Assists with claim reporting as assigned 
• Any other duties assigned by the Director of Business Office

Other responsibilities

• Displays excellent customer service skills when interacting with patients
•  Gives detailed guidance to the scheduling, reception, and management departments
• Verifies benefits and monitors payments
• establishing payment arrangements with patients
• Follows up with insurance companies
• connecting with patients when payment lapses occur

Employment requirements  

• 4 year High School Diploma 
• Minimum of 1-2 years of clinic billing experience strongly preferred
• Athena experience strongly preferred
• Experience in Medicare Billing strongly preferred

Knowledge, Skills and Abilities

• Basic computer skills required including MS Office knowledge
• Ability to remain stationary behind a computer screen for extended periods of time
• Demonstrate written and verbal communication skills, which elicit positive and productive outcomes
• Demonstrate commitment to continued self-improvement, honesty, integrity and character, which reflects an atmosphere of professionalism in providing quality work

Work Environment: Rarely be exposed to toxic/caustic chemicals, hazardous materials and waste; rarely work near moving mechanical parts, exposed to wet, humid conditions, fumes or airborne particles, risk of electric shock or vibration. This position is classified as an OSHA category 3 position: rarely exposed to a specific hazard.