What are the responsibilities and job description for the Billing Specialist position at Infinity Health?
Position Location - Leon Office
Position Summary: The Billing Specialists are responsible for the daily operations of patient service billing. This position must possess knowledge in all aspects of posting payments, and billing for all payors. The Billing Specialist will communicate to the staff and providers on any changes with coding guidelines, ICD and CPT codes, and complete audits to ensure all encounters are correctly coded and the notes coincide with the coding.
Essential Duties and Responsibilities:
- Practices exceptional customer service to all
- Supports the mission, vision, and values of Infinity Health
- Post all insurance payments and cash to patient accounts
- Coordinate the paper/document flow related to billing including but not limited to the correlation of records and filing of EOB’S after posting; reconciling batch postings at end of the day to ensure all money transactions match to reports daily; re-file insurance claims when needed; forward specific registration information to third party billing and follow-up
- Process refunds
- Work closely with accounting department to ensure monthly balancing
- Identify and establish relationships with third party insured to improve patient revenue
- Address patient problems with statements and or billing issues
- Maintain knowledge of filing primary and secondary billing processes
- Process all encounters and pertinent information for all payors
- Review all claims for proper coding and billing
- Review and print patient statements
- Process monthly statements
- Analyze and interpret patient medical records to identify and determine amount and nature of billable services and ensure appropriate billing code is used
- Interact with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation
- Review and prepare patient encounters for collection process, notify Collection Agency of any insurance and or patient payments received
- Coordinates the paper/document flow related to billing including but not limited to: re-filing insurance claims when needed; and forwarding specific registration information to third party billing and follow-up
- Suggests new or modified patient billing procedures
- This position may be allowed to work remotely two days per week. Other days working will be in person at our Leon location.
- Assists with the sustaining of patient centered medical home status as needed
- Performs other duties as assigned
Qualifications: High School Diploma required; a college degree preferred. Have or be willing to obtain coding certification. Knowledge of third-party reimbursement, including Health Center billing and computer literate. Maintain effective working relationships with staff, other agencies, and the public and follow written and verbal instructions.
