Billing Specialist

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We are excited that you are considering joining Nova Southeastern University!

Nova Southeastern University (NSU) was founded in 1964, and is a not-for-profit, independent university with a reputation for academic excellence and innovation. Nova Southeastern University offers competitive salaries, a comprehensive benefits package including tuition waiver, retirement plan, excellent medical and dental plans and much more. NSU cares about the health and welfare of its students, faculty, staff, and campus visitors and is a tobacco-free university.

We appreciate your support in making NSU the preeminent place to live, work, study and grow. Thank you for your interest in a career with Nova Southeastern University.

Primary Purpose:

Manages the billing process in NSU Health. Submits claims to insurance companies, reviews clearinghouse submission errors, and ensures accurate and timely billing for patient services. Works closely with healthcare providers, patients, and insurance companies to resolve billing issues and maximize revenue.

Job Category: Non-Exempt

Hiring Range:

Pay Basis: Hourly

Subject to Grant Funding? No

Essential Job Functions:

1. Prepares and submits claims to insurance companies and government payers using appropriate coding systems (CPT, ICD-10).

2. Generates regular reports on billing metrics, collections, and outstanding claims for management review.

3. Verifies and matches payments with open claims, ensuring that all claims are properly adjudicated, and payment amounts are accurately reflected.

4. Monitors outstanding claims and follows up with insurance companies to resolve issues, denials, and discrepancies.

5. Maintains accurate and detailed records of billing activities, claims submissions, and payment receipts in the practice management system.

6. Stays updated on healthcare billing regulations and coding updates to ensure compliance and reduce claim denials.

7. Works closely with other departments (e.g., coding, claim analyst, and patient services) to resolve billing issues and improve overall revenue cycle efficiency.

8. Tracks claim rejections in the clearinghouse and make necessary corrections according to billing guidelines.

9. Performs other duties as assigned.

Job Requirements:

Required Knowledge, Skills, & Abilities: Knowledge:

1. Proficient knowledge of MS Office Suite (Outlook, Word and Excel).

2. English Language - General knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

3. Customer and Personal Service - General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction.

4. Proficient knowledge of payer policies and regulations, including Medicare, Medicaid, and private insurance guidelines.

5. Proficient knowledge of medical terminology, insurance processes, and coding systems (CPT, ICD-10).

Skills:

1. Active Listening - Proficient skills in giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

2. Speaking - Advanced skills in talking to others to convey information effectively.

3. Critical Thinking - Proficient skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

4. Reading Comprehension - Advanced understanding of written sentences and paragraphs in work-related documents.

5. Judgment and Decision Making - Proficient skills in considering the relative costs and benefits of potential actions to choose the appropriate one.

6. Writing - Advanced skills in communicating effectively in writing as appropriate for the needs of the audience.

7. Complex Problem Solving - Proficient skills in identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

8. Service Orientation - Proficient skills in actively looking for ways to help people.

9. Communication - Excellent verbal and written communication skills, with the ability to create engaging content.

Abilities:

1. Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

2. Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.

3. Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (including finding a relationship among seemingly unrelated events).

4. Collaboration - Ability to work effectively with colleagues and supervisors.

5. Ability to enter and verify information with accuracy.

6. Ability to maintain confidential information.

Physical Requirements and Working Environment:

1. Speech Recognition - Must be able to identify and understand the speech of another person.

2. Speech Clarity - Must be able to speak clearly so others can understand you.

3. Near Vision - Must be able to see details at close range (within a few feet of the observer).

4. Travel - Must be able to travel on a daily and/or overnight basis.

5. May be required to work nights or weekends.

6. May be exposed to short, intermittent, and/or prolonged periods of sitting and/or standing in performance of job duties.

7. May be required to accomplish job duties using various types of equipment/supplies, to include but not limited to pens, pencils, and computer keyboards.

Required Certifications/Licensures:

Required Education: High School Diploma or Equivalent

Major (if required:

Required Experience: High School Diploma and six (6) years of medical accounts receivable, healthcare claims processing, or medical billing experience.

* -OR--

Associate's degree and four (4) year medical accounts receivable, healthcare claims processing, or medical billing experience.

* -OR -

Bachelor's degree and two (2) medical accounts receivable, healthcare claims processing, or medical billing experience.

Preferred Qualifications:

1. Experience in medical billing and revenue cycle in a healthcare setting.

2. Experience working with claims management software and electronic health records (EHR) systems, such as Epic, NextGen, or similar.

Is this a safety sensitive position? No

Background Screening Required? Yes

Pre-Employment Conditions:

Sensitivity Disclaimer: Nova Southeastern University is in full compliance with the Americans with Disabilities Act (ADA) and does not discriminate with regard to applicants or employees with disabilities and will make reasonable accommodation when necessary.

NSU is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status or any other legally protected status.