What are the responsibilities and job description for the COMMERCIAL BILLING SPECIALIST position at Coastal Horizons?
COASTAL HORIZONS CENTER, INC.
JOB TITLE: COMMERCIAL BILLING SPECIALIST
SUPERVISED BY: AR MANAGER
Required Educational/Experiential Qualifications
The Commercial Billing Specialist is responsible for providing financial, administrative and clerical services to ensure accuracy and efficiency of Coastal Horizons Center's billing operations as it relates to the accounts receivable. This position will be responsible for following up on commercial claim denials and will work directly with our payers and providers to rectify denials so that they can be accurately adjudicated for payment.
Essential Duties And Tasks
Please mail, fax, or email your resume and cover letter to: (no phone calls please)
Coastal Horizons Center, Inc.
ATTN: RECRUITMENT/HR
615 Shipyard Blvd.
Wilmington, NC. 28412
Fax: 910-790-0189
Email: jobs@coastalhorizons.org
Coastal Horizons is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability, or veteran status.
An Equal Opportunity / Affirmative Action Employer; Complying with The Immigration Reform and Control Act.
JOB TITLE: COMMERCIAL BILLING SPECIALIST
SUPERVISED BY: AR MANAGER
Required Educational/Experiential Qualifications
- High school diploma or GED with 2-3 years' experience related to responsibilities specified. Familiar with billing concepts, practices, and procedures.
- Knowledge of health care billing systems, procedures, documentation, and standards.
- Familiar with DSM and ICD-10 codes
- Previous experience with billing commercial payers
- Knowledge of billing/insurance terminology
- Basic computer skills including Excel
- Strong organizational, problem solving and analytical skills.
- Working knowledge of cash management principles and/or procedures.
The Commercial Billing Specialist is responsible for providing financial, administrative and clerical services to ensure accuracy and efficiency of Coastal Horizons Center's billing operations as it relates to the accounts receivable. This position will be responsible for following up on commercial claim denials and will work directly with our payers and providers to rectify denials so that they can be accurately adjudicated for payment.
Essential Duties And Tasks
- Assist with processing payments in compliance with financial policies and procedures
- Perform day to day financial transactions including verifying, classifying, computing, posting and recording accounts receivable data
- Verify billing accounts with accounts receivable ledger to ensure that all payments are accounted for and properly posted
- Thoroughly review clinical documentation and communicate directly with the clinical staff when errors need to be corrected in order to receive payment.
- Reprocess claims within EMR and/or directly on the payer’s website to assure timely receipt of payment
- Work directly with commercial/private payers
- Reconcile claims weekly to ensure receipt of claim by the payer.
- Encourages teamwork, energetic and motivates teams and individuals.
- Maintains a cooperative work environment to foster Coastal Horizons Center's missions and values and to meet goals.
- Proficient with MS Office (word, excel, power point, access); excellent with spreadsheet and medical billing software applications.
- Performs miscellaneous job-related duties as assigned.
- Must be able to perform sedentary work exerting up to ten (10) pounds of force occasionally and/or a negligible amount of force frequently on constantly to lift, carry, push, pull, or otherwise move objects.
- Must possess the visual acuity to prepare and analyze data and figures and operate a computer terminal.
Please mail, fax, or email your resume and cover letter to: (no phone calls please)
Coastal Horizons Center, Inc.
ATTN: RECRUITMENT/HR
615 Shipyard Blvd.
Wilmington, NC. 28412
Fax: 910-790-0189
Email: jobs@coastalhorizons.org
Coastal Horizons is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, disability, or veteran status.
An Equal Opportunity / Affirmative Action Employer; Complying with The Immigration Reform and Control Act.
