Insurance Billing Specialist

Job Description

Job Description

JOB TITLE:  Insurance/Billing Specialist

DEPARTMENT:   Business Office

JOB RELATIONSHIP:

Responsible to:  Business Office Manager

Responsible for:         Not responsible for anyone

Interrelationships: Works cooperatively with all hospital departments, medical staff, patients,  

and visitors.

JOB SUMMARY:

Submission of insurance claims on a timely basis and provides follow-up of aging claims. Payment posting of insurance claims.

JOB QUALIFICATIONS:

Experience:                 Prior experience in hospital setting is required.  Computer proficiency required.

Education:                   High School or equivalent required.

Req. Cert./

Registration:                None required 

JOB DUTIES

1. Electronic & paper claims processing.
2. Prior authorization & insurance referrals.
3. Aging report maintenance and claim corrections or appeals.
4. Office visit charge posting.
5. Posting of payments.
6. Assist with extra duties as requested by office manager.