Billing Specialist

Description

GENERAL SUMMARY OF DUTIES: Gathers information about patient accounts and corrects or forwards information to insurance companies on a regular basis. Following-up on specified accounts and makes sure the final follow-up is complete. Gathers charge information, codes, enters in a database, completes billing process, and distributes billing information accordingly. 

DUTIES PERFORMED: 

• Constantly assists with patient questions and payments.
• Constantly perform keying and posting charges.
• Frequently submits billing data to the appropriate insurance providers
• Frequently resolves denial instances
• Frequently achieves maximum reimbursement for services provided
• Occasionally post payments when needed, accurately and in a timely manner.
• Constantly enters patient information into the system accurately. 
• Occasionally works through the refunding process for insurance and patient accounts.
• Occasionally assist on other projects.
• Conduct duties in a professional and timely fashion
• Performs other duties as assigned.

Requirements

PERFORMANCE REQUIREMENTS:

• Knowledge of billing practices and clinic policies and procedures.
• Knowledge of coding and clinic operating policies as well as knowledge of working with insurance vendors. 
• Ability to examine documents for accuracy and completeness. 
• Ability to prepare records in accordance with detailed instructions. 
• Ability to work effectively with patients. 
• Ability to communicate clearly and maintain confidentially. 
• Ability to understand and effectively work in Microsoft Office, including Microsoft Excel, practice management systems, and electronic medical record system.  
• Ability to organize, prioritize, and manage multiple priorities.
• Ability to work independently with minimal supervision.
• Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization.
• Ability to use creative problem-solving skills

EDUCATION AND EXPERIENCE:

1. High school or GED
2. Minimum of two years with all aspects of medical billing (i.e., CPT, ICD-10, charge entry, payment entry and A/R follow-up)
3. Extensive knowledge of medical insurance and coding (i.e., CPT, ICD-10, Medical Terminology, and Medicare Guidelines)