Billing Specialist

Job Description

Job Description

Description:

The Billing Specialist will review and create the preparation of invoices, ensuring both the accuracy and correctness, as well as the completion of billing data. The specialist will support our daily operations by maintaining accurate patient accounts, ensuring balances and statuses are up-to-date, and following up on past due accounts. This role requires a high level of professionalism and the ability to multi-task in a fast-paced environment.

Essential Job Functions:

The billing specialist will monitor their work email through-out the day and respond to incoming requests within 24 hours of receiving any submissions for information. 

The billing specialist will work specified accounts in Athena Net daily. This will include but not limited to working the Hold bucket, Manager Hold Bucket, Eligibility Bucket, Missing Slips, Interface Errors (if applicable), Download non-Athena remittance, and manage TOS Money report. 

The TOS money reconciliation will then be given directly to the office manager daily with all cash and checks.

When applicable the billing specialist will work weekly the Overpaid Claims Worklist, Insurance Refunds worklist, Unapplied Credit List, process Patient Refunds, Self-pay Account worklist, Collections worklist, Full Worked Claims Worklist, Match deposit batches to bank activity, Claim attachment Error Queue, Payment mismatch tracking wizard, Zero pay report, Unknown Deposit Batches and associate with bank account and monitor FCC page that shows deposit activity, revenue, and clearing account items, including unpostables and undeposited transactions. 

Billing specialist will work the following monthly: A/R Aging Wizard, Denials, Insurance A/R

File information consistent with company procedures; alphabetically, numerically, and/or chronologically. Maintain organized and accurate filing systems; locate and retrieve files to provide requested information per company policy; create new files, merge files, and purge old files according to established policy and procedures.  

Assist office manager with completing contracts and credentialing where needed.  

Provide excellent customer service to all individuals as well as ensure patient/customer satisfaction at all levels of interaction. 

Maintain compliance with the local, state and federal laws.  

Adhere to all company policies and procedures carefully and properly. 

Assist with other projects assigned by management as needed. 

Must be highly responsible and encompass secure organization skills. 

Must be self-motivated and a self-starter with attention to detail. 

Answer phones and direct calls to personnel as needed. 

NOTE : This job description is not intended to be all-inclusive. The employee may perform other related duties as needed to meet the organization's ongoing needs. 

High School Diploma or equivalent required

Medical Billing Certification preferred

Minimum1 year medical billing experience

Experience with AHCCCS and commercial insurance benefits verification

EHR experience required, NextrGen preferred

Familiar with medical payment processing terminology

Excellent phone etiquette and customer service skills