Billing Specialist

Insurance Reimbursement Specialist

Responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts.

Essential Functions:

• Request and process all bills to third party payors and patients, maximizing re-imbursement of services provided to achieve established hospital goals.
• Responsible for accurate and timely data entry of charges, payments, adjustments and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred.
• Responsible for timely follow-up to insurance companies on billing submitted in order to allow for an effective and efficient cash flow of hospital receivables.
• Record both A/R and miscellaneous cash.
• Prepare bank deposits and post cash and adjustments to patient records as required.
• Balance A/R and maintain supporting reports as per department policy.
• Retrieve and perform electronic billing to insurance companies in a timely manner.
• Make follow up calls to insurance companies and guarantors as required.
• Perform other functions and tasks as assigned.

Education/Experience/Skill Requirements:

• High school diploma or equivalent required.
• Additional college course work preferred.
• Three years of business office experience, preferably in a hospital or medical office.