What are the responsibilities and job description for the BILLING SPECIALIST position at Christ Community Health Services?
Job Description
Job Description
JOB TITLE : Billing Specialist
DEPARTMENT : Billing
REPORTS TO : Director of Revenue Cycle and Managed Care Services
FLSA STATUS : Nonexempt
POSITION SUMMARY
The Billing Specialist is responsible for pursuing and receiving all monies due from insurance companies and patients. The incumbent is also responsible for corresponding with CCHS’ third-party billing company and managing accounts receivable for various payers and service areas.
KEY RESPONSIBILITIES
- Enters patient demographics, verifies insurance and reviews accounts for accuracy.
- Collects, posts, and manages account payments from insurance companies, public grant funded programs / service agreements and patients.
- Corresponds with third-party billing company to ensure timely follow-up of requested information (i.e. returns, refunds, recoupments, submission of hospital encounters, patient complaints, coding and fee inquiries, etc.)
- Manages accounts receivable for assigned service areas and payers.
- Develops payment plans as needed.
- Assists with fee schedule management as directed.
- Corresponds with Site Managers, providers and pharmacy staff regarding billing errors, information requests, returns, questions, etc.
- Monitors work queues to ensure all encounters are billed correctly.
- Handles mail and distributes accordingly.
- Communicates as needed with insurance companies.
- Assists with entry of NDC numbers as assigned.
- Assists with review of denial data and identifies training needs of providers, clinical staff and front office staff.
- Works with Accounting Department as necessary.
- Performs other duties as assigned.
POSITION REQUIREMENTS
Education : High school diploma plus some specialized training.
Experience : Four to six years of related experience; preferably back end revenue cycle
Licenses or Certifications : None required
Mental Requirements
Level 1 – Requires some concentration and normal attention. Generally, once the job is learned, the tasks can be performed more or less automatically.
Level 2 – Requires high periods of concentration intermittently and normal attention. Generally, even once the job is learned, tasks will require normal attention to deal with recurring variables.
Level 3 – Requires a high level of concentration and high level of attention intermittently. Generally, the approach to tasks may be consistent, but the number of steps required and / or the number of variables involved creates the possibility of errors unless the incumbent pays close attention.
Physical Requirements
Activity
Approximate % of Time
Comments
Sitting
Standing
Walking
100%
Approximate percentage of time spent lifting, pulling and / or pushing : N / A
Maximum number of pounds required (with or without assistance) : N / A
Types of objects the incumbent is required to lift / pull / push. N / A
Machines and Equipment Used :
Machines, Equipment, Tools
Approximate % of Time
Degree of Hand : Eye Coordination Required
High
Normal
Normal
Approximate percentage of time incumbent spends in “on-the-job” travel , excluding commuting to regular work location : N / A
Working Conditions
Typical office environment
