What are the responsibilities and job description for the Insurance Billing Specialist - Hybrid position at Private Label Staff?
Job Summary
The Billing Support Specialist I is responsible for ensuring orders are accurately tasked between internal systems to facilitate the insurance billing process. This role plays a vital part in streamlining patient orders, avoiding unnecessary delays, and maintaining compliance with insurance guidelines.
Key Responsibilities
- Task orders across internal systems such as Salesforce and Brightree.
- Monitor and maintain patient order queues.
- Maintain extensive knowledge of insurance coverages and markets.
- Analyze and report on daily, weekly, and monthly data.
- Partner with team members and cross-functional stakeholders to resolve issues.
- Adhere to CMS and other payer compliance guidelines.
- Meet and exceed productivity benchmarks.
- Maintain accurate medical records in accordance with HIPAA guidelines.
- Ensure compliance with all state and federal regulations.
- Identify and recommend process improvement opportunities to enhance workflow.
- Support various office or departmental projects and meetings.
- Perform miscellaneous duties and assist with tasks as assigned by management.
Knowledge, Skills, and Abilities
- Basic knowledge of Medicare, Medicaid, and Commercial Insurance.
- Ability to navigate multiple internal systems and task workflows efficiently.
- Strong oral and written communication skills.
- High attention to detail and ability to manage multiple priorities in a fast-paced environment.
- Problem-solving and conflict resolution skills.
- Maintain confidentiality and exercise discretion and judgment.
Qualifications
- High School diploma or equivalent (required).
- Some college or medical billing certificate (preferred).
- 0β2 years of experience with insurance billing, including Medicare, Medicaid, and Commercial Insurance (required).
- Experience with oxygen or HME billing (preferred).
- Beginner proficiency with Microsoft Office, Oracle, Brightree, Salesforce (highly preferred).