Billing Specialist

Billing Specialist

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.