Billing Specialist

Under general supervision, is responsible for processing and filing insurance claims, collecting patient payments, and overseeing the collections process.

Duties and Responsibilities

• Researches all information needed to complete billing process including getting charge information from providers.
• Assists in the processing of insurance claims.
• Processes all insurance provider’s correspondence, signature, and insurance forms.
• Assists patients in completing all necessary forms, to include payment arrangements made with patients.
• Answers patient questions and concerns.
• Keys charge information into entry program and produces billing.
• Follows-up with insurance companies and ensures claims are paid/processed.
• Resubmits insurance claims that have received no response or are not on file.
• Works with other staff to follow-up on accounts until zero balance.
• Assists in error resolution.
• Maintains required billing records, reports, files.
• Researches return mail.
• Answers telephone, screens calls, takes messages, and provides information.
• Participates in educational activities.
• Maintains strictest confidentiality.
• Performs related duties as required.

Qualifications

• High School diploma required.
• Minimum of 1-3 years of experience.

Skills and Abilities

• Demonstrate professional customer service skills.
• Ability to communicate effectively both orally and in writing.
• Working knowledge of relevant policies and regulations.
• Ability to flexibly respond to changing demands.
• Strong attention to detail and analytical skills.
• Ability to work both independently and collaboratively in a team environment.

Working Environment

• Office-based.
• Collaborative, patient-focused environment.

Physical Demands

• Ability to sit for extended periods while working on a computer or attending meetings.