What are the responsibilities and job description for the Billing Operations Specialist position at TBG | The Bachrach Group?
The Bachrach Group seeks a highly detail-oriented Billing Operations Specialist to join our team. In this role, you will be responsible for ensuring accurate and timely follow-up on billed accounts, verifying payments align with contracted rates, and maintaining high-quality account management.
Responsibilities:
- Follow up on third-party balance due accounts for prompt payments
- Verify insurance coverage and manage billed insurance claims
- Analyze insurance EOBs/remittances to confirm payments align with contracted rates
- Process denial appeals, claim corrections, and voids as needed
- Handle credit balances and issue refunds for self-pay and insurance accounts
- Submit primary and secondary claims via the Epic system
- Document follow-up actions with clear and concise account notes
- Work efficiently through 30-40 accounts daily
- Communicate professionally with clinical sites and account guarantors
Requirements:
- Experience in hospital or professional billing
- Strong math, analytical, and attention-to-detail skills
- Clear and professional communication skills
- Knowledge of Medicare, Medicaid, and third-party insurance billing
- Proficiency in claims processing, insurance follow-ups, and denial management
- Ability to work independently while following company policies
- Computer proficiency (35 WPM) and HIPAA compliance knowledge
