Insurance Billing Specialist

Shift Monday - Friday Location Lingle Building Job Description The Insurance Billing Specialist submits hospital claims to multiple third‑party payers including Managed Care plans, Medicare and Medicaid, hospice and other specialty claims. The specialist coordinates accumulation and verification of all necessary documentation required for billing and resolves claim‑level edits and errors as appropriate for accurate, compliant billing. The specialist performs follow‑up duties associated with re‑billing, claim‑level denials, adjustments and collections of all overdue accounts in accordance with best business practices. The specialist identifies problems and solutions or enhancements to resolve billing issues, including billing frequency, required forms, and general billing requirements. The specialist communicates issues and offers suggestions to service line departments and management to improve processes within the Revenue Cycle. Disclaimer : This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned. Education High school graduate or equivalent required. Courses in business, accounting, or related fields preferred. License N/A Certifications N/A Experience Minimum of two (2) years’ experience in patient accounting, insurance or a business office required. Experience with diagnosis codes, procedure and CPT codes, NCCI edits, modifiers, and standard payer reported code sets preferred. Reports To Billing Manager Supervises None Physical Demands Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body. Exposes to body fluids, sputum and tissues, which may carry the hazard of infectious disease. Involves repetitive motions: substantial movements of the wrists, hands, and fingers while operating standard office equipment such as computer keyboard. Must be able to perceive the nature of sound at normal speaking levels with or without correction. Must be able to make fine discriminations in sound. Must be able to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision. Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends. Mental Demands Must demonstrate keen mental faculties / assessment and decision making abilities. Must demonstrate superior communication / speaking / enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines. Attention to detail and the ability to multi‑task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations. Special Demands Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word. Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skills to a patient population of all ages. #J-18808-Ljbffr