Billing Specialist
Billing Specialist
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Job Description
Billing Specialist
Job Description: Billing Specialist
Reports to:Senior Revenue Cycle Manager
Job Purpose:
We are a pediatricnon-profit organization seeking a billing specialist to join our professional billing specialist will manage all matters and communications relative toinsurance claims on behalf of Texas Hearing Institute.
Position Information:
Hours Weekly: 40
Monday Friday: 8:00 am 5:00 pm
Starting Salary: Determined by experience.
FLSA Status: Non-exempt
Benefits:
- Health & Dental Insurance
- Life Insurance
- Long Term Disability Insurance
- 403 (b) Retirement Plan
- 12 Paid Holidays
- 21 Paid Time Off Days
Major Responsibilities
- Stays focused on maximizing revenue and reducing contractual allowances/discounts/MWS and other (grants) write offs at all times
- Files all THI claims. Files all THI appeals and corrected claims as needed
- Handles all communications with Insurance/Medicaid provider relations re: underpayments and/or denials through to final resolution
- Enters and posts all service-related (program) payments into IMS software
- Regularly reviews all client accounts and keeps them clean including notifying clients of balances due issuing check requests for refunds due or making necessary adjusting entries.
- Assists Senior Revenue Cycle Manager in Accounts Receivable (A/R)
- Assists Senior Revenue Cycle Manager with awareness of insurance/Medicaid policy and/or contractual changes and notifies management and/or program directors as changes occur
- Prepare and process insurance claims timely and accurately to government commercial and managed care payers.
- Review and distribute corrected claims
- Resolve claim edits via claim edit work queues and/or our external billing software
Other Responsibilities
- Acts as backup to THI Verification Specialist and Front Desk (Receptionist) in their absence and/or as needed
Customer Service Standards
Support co-workers and engage in positiveinteractions.
Communicate professionally and timely withinternal and external customers
Demonstrate friendliness by smiling and makingeye contact when greeting all customers.
Provide helpful assistance in anticipating andresponding to the needs of our customers.
Collaborate with customers in planning anddecision making to result in optimal solutions.
Ability to stay calm under pressure and dealeffectively with difficult people
Education and Experience Requirements:
- High school diploma
- Must have three-plus years of claims (insurance billing) experience
Specific Skills:
Knowledge and acquiredusage of Microsoft standard programs; in particular Microsoft Word and Excel
Good communication skillsparticularly with inter-departmental communications
Key Competencies
Verbal and written communicationskills
Professional personalpresentation
Standard PC usage
Office organization
Reliability
Basic Competencies:
Internet- using the internet for filing claims gathering information andcommunicating
Spreadsheets knowledge and ability to create modify and electronically transmit
Emailand fax machine knowledge and familiarity
Tools:
Desktopcomputers
Laptopcomputers
iPad
Scanner
Faxmachine
CopyMachine
PostageMeter
Technology:
- Internet
- Microsoft Word and Excel
- IMS (program software) onsite training
Please visit our careers page to see more job opportunities.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
