What are the responsibilities and job description for the Billing Specialist position at East Ohio LLC?
JOB SUMMARY :
Responsible for managing patient account balances including accurate claim submission, compliance will all federal / state and third party billing regulations, timely follow-up, and assistance with denial management.
RESPONSIBILITIES :
- Submits accurate and timely claims to third party payers.
- Resolves claim edits and account errors prior to claim submission.
- Performs daily tasks in appropriate sequence to achieve optimal productivity, accountability and efficiency.
- Contacts third party payers to resolve unpaid claims.
- Utilizes payer portals and payer websites to verify claim status and conduct account follow-up.
- Researches and processes mail returns and claims rejected by the payer.
- Reconciles billing account transactions to ensure accurate account information
- Processes billing and follow-up transactions in an accurate and timely manner.
- Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital / physician billing.
- Monitors accounts to facilitate timely follow-up and payment to maximize cash receipts.
Requirements
EDUCATION and EXPERIENCE :
PHYSICAL REQUIREMENTS : ?
