Billing Specialist

• Monitors billing WQ’s assigned by making any corrections for the claim to be submitted for payment. Prioritizes follow-ups and process denials while maintaining a high quality of work.
• • Participate in the billing office day-to-day activities for patient calls and visits pertaining to any self-pay balances. This includes payment processing, claims analysis, and reconciliation.
  • Responsible for all billing functions of EMS Transports, to include preparing the claim, dropping the claim, posting any payments, follow-up on denials and non-paid status.
  • Responsible for the miscellaneous accounts receivable reconciliation and preparation of deposits. This includes services for Occupational Medicine, Assisted Living, and other miscellaneous payments received.
  • May perform accounts payable tasks as the back up to the accounts payable staff.
  • Always maintains patient and organization confidentiality.
  • Assist with other tasks as assigned by the CFO and/or CEO.
  • The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

A. Education: High School Diploma required

B. Personal Job-Related Skills: Ability to operate business office equipment including personal computers and possess advanced Excel skills. Effective oral and written communication abilities. Experience in the electronic medical record system of Epic is a requirement.

C. Licensure, Registry or Certification: None required.

D. Experience: Demonstrated knowledge of and experience in healthcare medical billing, claims processing, follow-up and appeals required. Excellent communication skills – written and oral. Demonstrated ability to represent the organization’s values and to carry out these job responsibilities effectively and professionally.

E. Physical and Mental Requirements: Duties of the position require intermittent walking, sitting, and standing. Some bending, stooping, and reaching is required with the lifting of items up to a weight of 40 pounds.

F. Environmental/Working Conditions: Normal office environment 8-hour shift Monday through Friday

Skills

• Skill in computer systems and applications (advanced Excel skills)

• Skill in using a calculator • Skill in organizing and prioritizing multiple tasks.

• Skills in reconciling system documents to source documents.

Abilities

• Ability to examine documents for accuracy and completeness.
• Ability to prepare records in accordance with detailed instructions.
• Ability to work effectively with co-workers as a team member.
• Ability to keep paperwork organized and accessible.
• Ability to communicate in a diplomatic and persuasive manner.
• Ability to improve processes to incorporate maximum efficiency of time