Billing Specialist

Job description

Position Title: Billing Specialist

General Summary of Duties: Performs as a cross trained multi-functional team member of the business office. Ensures accurate and timely charge capture and billing of various clinical encounters and other administrative functions, as assigned. Responsible for payment posting, reconciliations, surgical estimates, and other revenue cycle activities.

Reports to: Practice Billing Manager

Supervisory Responsibilities: None

Primary Responsibilities/Tasks:

• Responsible for various payer charge entry, payment posting, and contractual reconciliations.
• Researches all information needed to complete billing process including appropriate charge capture from clinical documentation.
• Researches and verifies the services and diagnoses used for billing.
• Update any patient insurance in patient management system and other updates to demographics.
• Assists staff and patients when necessary to billing to resolve reimbursement issues or problems as necessary.
• Post copayments and other payments received to patient accounts.
• Educates patients and maintains compliance with HIPAA privacy regulations and acknowledgements if applicable.

EDUCATION: High School diploma

PREFERRED EXPERIENCE: Minimum of two years billing experience in a medical office, hospital, patient access, customer service or related field. Certification: CPAR, CPC, etc.

Performance Requirements:

Knowledge:

1. Knowledge of revenue cycle.

2. Knowledge of medical terminology and insurance practices.

3. Knowledge of computer programs and applications.

4. Knowledge of grammar, spelling, and punctuation to type from draft copy and review and edit reports and correspondence.

5. Knowledge of CPT and ICD-9 coding.

6. Demonstrated ability to effectively communicate with individuals in all levels of responsibility.

7. Ability to work independently.

Talents:

1. Skill in operating office equipment

2. Skill in handling paperwork/filing adequately.

3. Skill in handling incoming phone calls and triaging appropriately.

4. Skill in written and verbal communication.

5. Skill in gathering, interpreting, and reporting insurance information.

6. Skill in trouble-shooting insurance claims issues and resolving appropriately.

Skills:

1. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

2. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

3. Ability to type 60 words per minute using word-processing software. Able to learn/use other computer programs including Microsoft® Excel, e-mail, Internet, and Microsoft®
PowerPoint.

4. Ability to work effectively as a team member with physicians and other staff.

5. Ability to sort and file materials correctly by alphabetic or numeric systems.

6. Ability to interpret and understand insurance benefits and reimbursement.

7. Ability to flexibly respond to changing demands.

8. Ability to organize and prioritize tasks effectively.

9. Ability to communicate clearly.

10. Ability to work with little supervision.

11. Ability to establish and maintain effective working relationships with patients, employees, and the public.

Equipment Operated: Office machinery including computers, fax, dictating machine, calculator, and photocopier. Occasionally lift and carry files up to 20 pounds.

Work Environment: Work performed in office environment. Involves frequent contact with staff and patients. May require working under stressful conditions.

Mental/Physical Requirements: Manual dexterity for office machine operation including computer and calculator; stooping, bending to handle files and supplies, mobility to complete errands or deliveries, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.

Disclaimer: This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Job Type: Full-time

Pay: From $16 - $19 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• ICD-10: 1 year (Preferred)

Work Location: In person

Salary : $16 - $19