Billing Clerk

researchesJob Summary

The Billing Specialist is the main link between patients and third party insurance companies. They monitor and address aged accounts for insurance(s) and/or contracts as assigned. They manage referrals, schedule patients, verify insurance, and submit claims. They are responsible for all Outpatient Therapy billing duties.

Essential Job Duties

A. Obtain the necessary information for accurate messages.

B. Fields new referrals.

C. Contacts health insurance companies to confirm benefits.

D. Contacts referred patients with an estimated expense for physical therapy to schedule while minimizing vacancies on the schedule.

E. Assists patients with questions regarding health insurance, pricing, and hours.

F. Assists staff with payment and adjustments if necessary.

G. Collects & posts payments from patients per patient’s insurance coverage or self-pay status.

H. Review and interpret explanation of benefits (EOB) from insurance carriers to post appropriate payment and denial codes daily.

I. Demonstrates knowledge of insurance payer guidelines. Identifies invoices with secondary payers and takes the appropriate action to ensure they are sent to secondary carriers.

J. Enters alphabetic, numeric, or symbolic data such as denial codes and rejections from all payers into the practice management system.

K. Runs daily, weekly, and monthly reports from multiple sources to ensure accurate posting of payments.

L. Verifies insurance, submits claims, addresses claim errors & denials, collects & post payments, and is responsible for all therapy billing duties.

Education and Experience

A. Education: High School graduate or GED required.

B. Experience: Prior billing and scheduling experience is preferred.

C. Other: Valid N.C. Driver’s License, and dependable transportation.

Job Type: Full-time

Pay: $14.00 - $18.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Education:

• High school or equivalent (Required)

Experience:

• billing: 1 year (Required)

License/Certification:

• Driver's License (Required)

Ability to Commute:

• Marshall, NC 28753 (Required)

Work Location: In person

Salary : $14 - $18