What are the responsibilities and job description for the IJRI-Billing Specialist position at Indiana Joint Replacement Institute?
Job Type
Full-time
Description
Job Summary : Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms.
Primary Job Responsibilities / Tasks :
1. Researches all information needed to complete billing process including getting charge information from physicians.
2. Codes information about procedures performed and diagnosis on charge.
3. Assists in the processing of insurance claims including Medicaid / Medicare claims.
4. Processes all insurance provider's correspondence, signature, and insurance forms.
5. Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns.
6. Keys charge information into billing system, files claims, and resolves any errors.
7. Coordinates posting payments received at the clinic.
8. Follows-up with insurance companies and ensures claims are paid / processed, works denials, and files appropriate appeals.
9. Resubmits insurance claims that have received no response or are not on file.
10. Works with other staff to follow-up on accounts until zero balance.
11. Assists error resolution.
12. Maintains required billing records, reports, files.
13. Research return mail.
14. Answers telephone, screens calls, takes messages, and provides information.
15. Participate in regularly scheduled, routine coverage of the business office to assist visiting patients.
16. Provides front desk coverage as necessary.
17. Participates in educational activities.
18. Maintains strictest confidentiality.
19. Other duties as assigned.
Requirements
Education : High school graduation or GED.
Experience : Minimum of one year billing experience in health care organization.
Other Requirements : None.
Performance Requirements :
Knowledge :
1. Knowledge of billing practices and clinic policies and procedures.
2. Knowledge of coding and clinic operating policies.
3. Knowledge of medical terminology.
4. Knowledge of insurance industry.
5. Knowledge of grammar, spelling, and punctuation to type correspondence.
Skills :
1. Skill in computer programs, spreadsheets and applications.
2. Skill in using a calculator.
3. Skill in typing 40 wpm.
Abilities :
1. Ability to understand and interpret policies and regulations.
2. Ability to prepare documents in response to complaints and inquiries.
3. Ability to examine documents for accuracy and completeness.
4. Ability to read, understand, and follow oral and written instruction.
5. Ability to sort and file materials correctly by alphabetical or numeric system.
6. Ability to communicate effectively and work with others.
Environmental / Working Conditions : Work is performed in an office environment. Involves frequent contact with staff, patients, and the public. Work may be stressful at times. Contact may involve dealing with angry or upset people.
Physical / Mental Demands : Work may require hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to complete errands or deliveries, or sitting for extended periods of time. Manual dexterity for using a calculator or computer keyboard.
Salary Description
18-$25 / hr depending on experience.
Salary : $18 - $25
