Billing Specialist

Billing Specialist is an essential role to the organization that is in charge of calculating and collecting payments for medical procedures and services, so patients can receive the best care. Their work includes updating patient data, developing payment plans, answering phones, and preparing invoices. This goal of the Billing Specialist is to ensure that patients are billed quickly, with accuracy, and to provide great customer care.

DUTIES AND RESPONSIBILITIES:

• Preparing and submitting billing data and medical claims to insurance companies.
• Ensuring the patients medical information is accurate and up to date.
• Preparing bills and statements, and documenting amounts due for medical procedures and services.
• Collecting and reviewing referrals and pre-authorizations when needed.
• Monitoring and recording late payments.
• Following up on missed payments and resolving financial discrepancies.
• Examining patient bills for accuracy and requesting any missing information.
• Investigating and appealing denied claims.
• Helping patients develop patient payment plans.
• Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports.
• Answer and return calls from patients and staff regarding insurance and billing.

QUALIFICATIONS:

• High School Diploma or equivalent.
• A minimum of 2 years of experience as a medical biller or similar role.
• Solid understanding of billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Excellent written and verbal communication skills.
• Outstanding problem-solving and organizational abilities.