What are the responsibilities and job description for the Credentialing/Billing Specialist position at The Centers?
In this position, you will be responsible for the billing process.
- Submits Insurance, Medicare and Medicaid claims electronically on at least a weekly basis using our billing software or manually when needed.
- Submits secondary Insurance, Medicare and Medicaid claims on at least a weekly basis.
- Posts payments electronically as payments are received using billings software or manually when needed.
- Submits Medicare crossovers electronically on at least a weekly basis.
- Posts Medicare crossovers electronically as payments are received.
- Posts adjustments in our billing software per EOBs and transfers balance to other payers as necessary (as EOBs are received)
- Monitors EOB/notices from funding sources of non-payment/partial payment and resubmits with corrected/requested information.
- Works with funding sources to resolve problems with payments in a timely manner.
- Notifies appropriate staff of funding problems.
- Stays current on payer updates and recommends billing software updates that are needed due to upcoming changes by funding sources.
- Follow-up on past due claims.
- Researchers claim as necessary to ensure funds are collected in a timely manner.
