Billing Specialist

Duties and Responsibilities

Description of Duty

Billing 

• Complete billing in a timely manner. This includes reviewing and processing bills for insurance claims.
• Collaborate with third parties to resolve billing errors and inconsistencies.
• Submit corrected claims, reconsiderations, and appeals as necessary.
• Create invoices and billing materials and distribute as needed to secure payment.
• Input payment history
• Assess and investigate payment issues and errors.
• Review outstanding aging reports.
• Responsible for timely Medicaid, County, and Contract-related billing. 

Communication 

• Communicate billing issues/omissions/errors in a timely manner to the Controller.
• Work closely with insurance companies and provider representatives to secure proper payment.
• Communicate payment or denials that impact revenue to finance leadership.
• Communicate accounts receivable collections and complete billing tasks in order to meet assigned billing outcomes.

Eligibility Review 

• Verify insurance eligibility for persons served.

Collaboration 

• Collaborate with direct care staff, administration, and leadership to clarify issues and obtain additional information.

Other 

• Attend weekly departmental meetings
• Meet all annual training requirements
• Ability to follow HIPAA and Confidentiality rules guiding billing and organizational policies and procedures. 

REQUIREMENTS

Education

Associates degree

Licensure

N/A

Years of Experience 

5-7 yrs. experience in medical billing, coding, or collections required.

Computer Experience

Proficiency in computer systems and software

*Experience using SmartCare is a plus

Other

Strong attention to detail.

Customer oriented and customer focused.

Ability to meet deadlines in a timely manner.