What are the responsibilities and job description for the Billing Specialist position at Three Rivers Ambulance Authority?
Summary:
The Billing Specialist may be required to fulfill key billing aspects including but not limited to: processing primary and secondary claims per regulations and policies, re-processing of denials of claims, and ensuring billing and coding are accurate and correct. May additionally work on special projects related to research and/or special events and some administrative duties.
Core Responsibilities
- Greet and provide assistance, guidance and direction to visitors and clients.
- Maintain a positive “customer-service” approach at all times.
- Responsible for submission of initial claims to primary insurance per respective regulations and policies.
- Correction of denied claims per direction of manager or designated team member.
- Complete insurance verification.
- Investigate claims with no payer response to ensure claim was received by payer.
- Clearly document issues and resolution.
- Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims.
- Maintains confidentiality; adheres to all HIPAA guidelines/regulations.
- May complete administrative duties such as ordering supplies for the office, directing phone calls, and transcribing meeting minutes.
- May coordinate Special Events process
- Exhibit exceptional customer service skills; answering patient and insurance calls; prompt return and follow up to all interactions; prompt response to requests for information.
- Performs other duties as assigned.
Requirements
- Strong understanding of physiology, medical terms and anatomy
- Strong knowledge of medical billing procedures.
- Associate’s degree and/or two years of equivalent experience (preferred)
- Minimum of 1 year experience in medical billing (required)
Physical Requirements
- Must be able to withstand considerable sitting while performing the duties of the job.
- Must be able to frequently use hands to utilize office equipment
