Billing Specialist

Job Description

Job Description

Summary:

The Billing Specialist is responsible for the QA and submission process of claims to the insurance payors through our EMR system.

Essential Duties and Responsibilities:

• Receiving for quality assurance the claims in the EMR system.
• Following up on the claims that need correction with the provider and supervisor.
• On-time submission of claims to maintain the company's cash flow.
• Managing balances and identifying inconsistencies ahead of time.
• Creating reporting to identify trends, opportunities, and conflicts with the claims.
• Support other departments with billing information.
• Credential providers and have insurance contract information updated
• Update the insurance rates in the EMR system.
• Give and deny access to employees in the EMR system depending on their role.
• Connect with the EMR support team if needed.
• Other duties as assigned.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience

• Bachelor’s degree preferred.
• 2 plus years’ experience working in a billing specialist role for the medical or behavioral health field.

Required Skills/Abilities

• Strong Communication skills, including writing, speaking, and active listening.
• Great customer service skills.
• High degree of attention to detail and trustworthiness.
• Good problem-solving and critical thinking.
• In-depth knowledge of industry best practices.
• Proficiency in Microsoft Excel and Accounting software.