Billing Specialist

Job Description

Job Description

Job Summary: Responsible for support of charge entry for physician practice and ASC. Obtain prior authorizations, create and submit accurate physician and facility claims to insurance providers. Work aging accounts receivable including insurance denials and appeals as well as aging patient balances. Interacting with patients regarding both expected costs and current balances.

Education and Experience:

• High school diploma or equivalent.
• Two years minimum experience in customer service
• Healthcare billing representative or medical receptionist experience a plus. If you do not have this experience,  please note in your cover letter why you are interested in this field .

Essential Skills and Abilities:

• Excellent communication skills, written and oral.
• Mathematical and analytical problem solving ability.
• Type 40+ WPM.
• Strong computer skills.
• Well-organized with attention to detail.
• Ability to manage multiple tasks simultaneously.
• Ability to work as a team player.

RESPONSIBILITIES:

Primary Responsibilities

• Prepare claims for submission, work denials, interact with patients regarding bills and per assignment protocols determined by Billing Manager
• Request and obtain accurate prior authorizations for surgery scheduled
• Review surgery EMRs for errors. Ensure corrections are performed by the appropriate parties if necessary.
• Create and submit claims for surgeries for both a physician and an ambulatory surgery center.
• Resolve rejected claims daily to allow for timely submission.
• Review aging insurance accounts receivable and make corrections to ensure future payments. Find and assist in resolving trending issues with specific insurance payers.
• Discuss insurance and billing questions with patients in person and by phone.

Secondary Responsibilities

• Perform other duties, as required.
• Set-up payment plans for patients.
• Cover other positions in billing during vacation time