What are the responsibilities and job description for the Billing Specialist position at Westcare Foundation, Inc.?
Job Details
Job Location
Henderson - 1711 Whitney Mesa - Henderson, NV
Position Type
Full Time
Education Level
High School
Salary Range
21.63 - $21.63 Hourly
Job Shift
Description
Position Summary :
The Billing Specialist plays a crucial role in the revenue cycle process by ensuring that all billing procedures are executed accurately and efficiently. Reporting to the Revenue Cycle Manager, this position is responsible for preparing and submitting medical claims to insurance companies, reviewing patient bills for accuracy, and working to resolve any discrepancies. The Billing Specialist works closely with other members of the revenue cycle team to maximize reimbursement and ensure a smooth billing process.
Essential Job Functions :
- Claim Preparation & Submission : Prepare and submit accurate and timely medical claims to insurance companies, government programs, and other payers.
- Charge Entry : Accurately enter charges into the billing system based on patient services and coding information.
- Payment Posting : Post payments received from payers and patients to the appropriate accounts, ensuring accuracy in the allocation of funds.
- Denial Management : Review and analyze claim denials, identify the reasons for denial, and take appropriate action to correct and resubmit claims.
- Billing Audits : Perform regular audits of patient accounts to ensure accuracy in billing and coding, and identify any discrepancies or errors.
- Patient Billing : Generate and send out patient statements, responding to patient inquiries regarding their bills, and providing clear explanations of charges and payment options.
- Insurance Verification : Verify patient insurance coverage and benefits prior service delivery and claim submission, ensuring that all necessary information is obtained and recorded.
- Compliance : Ensure all billing activities comply with federal, state, and local regulations, as well as internal policies and procedures.
- Reporting : Assist in generating reports on billing activities, accounts receivable, write-off recommendations and other key metrics for review by the Revenue Cycle Manager.
- Collaboration : Work closely with the coding team, accounts receivable specialists, and other departments to resolve billing issues and ensure a seamless revenue cycle process.
- Process Improvement : Identify opportunities to streamline billing processes and improve efficiency, making recommendations to the Revenue Cycle Manager.
Qualifications
Essential Qualifications :
Certifications / Licenses :
During your tenure with WestCare there may be new requirements, including, but not limited to vaccinations that are issued by local, State, Federal, and / or Funders that WestCare may have to comply with. Should this occur Human Resources or appropriate personnel will inform you
Education :
Experience and Competencies :
Working Conditions :
Salary : $22
