What are the responsibilities and job description for the Billing Specialist position at Vincentian?
Job Description
Summary:
The Billing Specialist focuses on billing third party payors. Responsibilities include correcting, completing and processing claims of all payor codes. This position is also responsible for performing a wide variety of clerical, reconciliation, intermediate accounting and statistical duties.
It is the duty of all employees to promote and support a resident centered care environment that ensures the treatment of all residents, family members, visitors, fellow employees and customers with kindness, respect, and dignity.
Essential Duties And Responsibilities:
Summary:
The Billing Specialist focuses on billing third party payors. Responsibilities include correcting, completing and processing claims of all payor codes. This position is also responsible for performing a wide variety of clerical, reconciliation, intermediate accounting and statistical duties.
It is the duty of all employees to promote and support a resident centered care environment that ensures the treatment of all residents, family members, visitors, fellow employees and customers with kindness, respect, and dignity.
Essential Duties And Responsibilities:
- Commit to the Vincentian Collaborative System (VCS) mission to nurture and sustain a ministry of compassionate care that preserves the human dignity of persons within a diverse and changing society.
- Uphold and promote the VCS values of spirituality, compassion, quality, dignity, collaboration, advocacy and stewardship.
- Promote and support a resident centered care environment that ensures the treatment of all residents, family members, visitors, fellow employees and customers with kindness, respect, and dignity.
- Review and submit claims for Medicaid, Medicare, Managed Care, Highmark Episodic, and other insurances, including knowledge of 360 and 180 day exception claim processing.
- Review, correct with appropriate department, and resubmit returned/rejected claims, contacting insurance companies if needed.
- Pull electronic remittances from clearinghouse, enter cash receipts and assure correct allocations for insurance payments in PointClickCare.
- Perform monthly, closing and balancing no later the 5th of every month.
- Act as backup to the Senior Business Office Manager.
- Handle incoming billing related calls.
- Assist with monthly review of A/R.
- Knowledge of ICD-10 and CPT coding a plus
- Experience with MSP billing a plus
- Performs other duties as required.
- High school graduate or equivalent required. Associate degree, technical degree or completion in a certificate program in medical insurance billing or similar field preferred.
- Minimum of one (1) year experience in handling billing and accounts receivables in a long term care environment required
- Experience with Medicare and Medicaid billing procedures required.
