Billing Specialist

Job Description

Job Description

Billing Specialist

Description: The Billing Specialist ensures accurate and timely medical processes, maintains compliance with regulations, and optimizes revenue cycle management. This role requires collaboration with both internal and external clients, and the candidate must have strong interpersonal skills.

Responsibilities and Duties:

Understand that you need to be at the office by 9 am Monday-Friday and work a minimum of 38 hours each week.

Role includes but is not exclusive to:

• Review and analyze medical documentation for billing accuracy
• Submit claims to insurance companies and follow up on outstanding balances
• Resolve billing discrepancies and appeal denied claims
• Process billing statements and invoices for patients
• Stay updated on healthcare regulations and compliance requirements
• Collaborate with healthcare providers to address billing inquiries
• Monitor and report on key performance indicators related to billing processes
• Communicate effectively with internal and external stakeholders
• Handle any billing-related escalations in a professional manner
• Participate in all weekly departmental meetings and training sessions
• Handle inquiries related to billing and provide excellent customer service
• Conduct routine audits on previous claim submissions

 

Performs other duties as specified by the leadership team. This position can be very fluid and may need adjustments and deletion of processes to keep up with the changing environment.

Environmental Working Conditions and Physical Requirements:

The work environment of the United Medical Billing Specialist involves the everyday risks and discomforts typically of such places as a United Medical office. The Billing Specialist must be capable of performing the same safe work practices required of the office and field staff. Especially with regards to observance of OSHA regulations. Additionally, you must possess the following attributes:

- Sitting in a seated position for extended periods of time

- Finger dexterity is required to manipulate small objects such as using a keyboard.

- Communication skills using the spoken word, both in person and over the telephone.

- Visual ability to read materials in either a printed format or on a computer screen.

- Ability to hear well enough to carry on a normal conversation, both in person and over the telephone.

- Stamina to maintain attention to detail despite frequent interruptions.

- Ability to lift 50 pounds.

- Possess basic mechanical skills, especially those related to troubleshooting respiratory equipment.

- Ability to work in all weather.

- Must have willingness and ability to work extended workweeks, including some evenings and weekends.

 

Qualifications:

- Minimum of 2 years of experience in medical billing and revenue cycle management.

- Ability to effectively communicate, orally and in writing, with the public and with employees to exchange and clarify information

- Ability to identify and resolve problems in a timely manner while analyzing the information and data

- Strong understanding of insurance guidelines and reimbursement practices

- Knowledge of healthcare billing codes (CPT, ICD-10, HCPCS)

 

Skill requirements:

- Proficient computer skills and ability to navigate Microsoft office, internal computer systems, insurance portals, and process payments

- Excellent organizational and time management skills with the ability to prioritize tasks as needed

- Possess a high level of attention to detail when typing and entering information into systems and databases

- Role requires use of frequent basic math skills

- Developing and maintaining good relationships with co-workers and managers.

- Maintaining open lines of communication with others

- Ability to multitask and meet deadlines
- Flexibility to adapt in a fast-paced environment that is constantly evolving