What are the responsibilities and job description for the Billing Specialist position at ABHS?
- Acts as a liaison between the facility and payment parties.
- If claims are denied by the third-party payer, the medical billing specialist must investigate the claim verify its information and update the database.
- Ensure medical records needed for billing purposes are in client’s charts and/or submitted
- Handle P2P accounts
- Payment trend analysis
- Conduct VOB’s
- Meets agency and billing compliance standards
- Review and work EOB items that need follow up (patient or insurance carrier level)
- Review COB needs and work with patients to resolve
- Handle account balance inquiries
- Call insurance carriers to have claims reprocessed in accordance with contracts and plan benefits
- Protects Facility value by keeping collection information confidential
- Update job knowledge by participating in continuing education opportunities
- Review billing reports identify areas that need attention
- Provide supervisor with follow up from billing reports
- Track all tasks on spreadsheet or other assigned methods
- Complete Credentialing documentation assigned
- Complete EFT/ERA Enrollments and Enrollment Forms
- Bi-weekly supervision
Core Competencies:
- Communication
- Customer Service Oriented
- Dependable & Accountable
- Innovative
- Integrity
- Quality (accuracy)
- Safety Oriented
- Self-Development
- Team Player