Description and Purpose: The Billing Specialist is responsible for claims and billing functions as well as related activities. Primary duties include reviewing patient claims billing clean claims receiving and posting claim payments managing patient accounts and balances managing denied claims and resolving claim issues communicating with insurance carriers and patients regarding claims and billing issues and other billing duties as assigned. Billing Specialist also supports Admission functions as well as occasionally provides support for front desk coverage. Qualifications: - Bachelors degree in the related field is preferred but not required
- Must have prior experience with Electronic Medical Records (EMR) Systems
- Must have insurance knowledge; prior experience in claims & billing is a plus
- Medical coding degree or certification is strongly preferred
- Proficiency in the Microsoft Office Suite (especially Excel) is preferred
- Strong customer service and time management skills
- Excellent organizational skills and attention to detail
Patient Account Representative Duties and Responsibilities: - Responsible for all billingrelated duties including but not limited to: conducting prebilling reviews for clean claims sending out claims to insurance handling claim denial issues receiving and recording payments managing adjustments and writeoffs and maintaining accuracy in patient data and balances.
- Assists in monthly reconciliation of insurance and patient payments
- Manage denied claims handle claim appeals and resubmissions and resolve unpaid claims with insurance companies
- Handles client inquiries regarding billing and charges and sends out collection letters where appropriate
- Assist with revenue cycle management insurance contractual obligation issues medical record reviews and facility/provider credentialing
- Support Admission functions and provide occasional front desk coverage
- Other duties as assigned
Fulltime position!!! Benefits include: - 26 paid days off (PTO) per year to start! PTO increases over time up to 44 days per year!!
- Sell back PTO at 100 value!
- Health insurance
- Vision
- Dental
- Shortterm disability
- Supplemental life insurance
- Life insurance is provided at 3 times your annual salary!
- Longterm disability is provided!
- Companysponsored 401(a) funded at 8.5 to start!! Increase to 14.5 over time.
| Required Experience:
Unclear Seniority