Tier 1 Business Services Specialist II - Billing/ Coding

Job Description

Job Description

Position Summary

Responsible for all aspects of assigned patient accounts after charge entry to final resolution

Essential Functions Statement(s)

• Verifies and updates insurance information and demographics
• rebills charges when insurance corrections are made 
• Keeps up with changes in billing and pre-cert guidelines (including LCD's)
• Reviews insurance eligibility
• Determines and reviews financial responsibilities and insurance coverage with patients
• Resolves patient balance related questions
• Reviews surgery costs and establishes payment plans for patient portion
• Reports denial trends to coders and managers 
• Completes charge entry 
• Processes patient and payor refunds 
• Reviews insurance eligibility and rejections/errors 
• Follows-up on aging buckets 
• Identifies accounts for referral to outside collection agency
• Edits claim holds
• Keeps up with changes in payor processes and reports them to coordinator for appropriate action
• Obtains all precertification
• Responds to correspondence from payors and patients
• Regular and predictable attendance
• Ability to work in a cooperative manner with others
• Performs other duties as assigned 

Education:  High School Graduate or General Education Degree (GED)

Experience:  Previous healthcare billing experience is required. Coding experience preferred 

Computer Skills:  Must be computer literate. Basic computer skills required. Must be able to type.

Campbell Clinic Benefit Summary: 

Campbell Clinic offers a lucrative benefit package to support employees and their families.

• Medical / Dental / Vision Insurance
• HRA Option
• Flexible Spending Account 
• Basic Life Insurance 
• Voluntary Life Insurance Option
• Long-Term Disability
• Voluntary Short-Term Disability 
• Accident Insurance 
• Critical Illness Insurance
• 401(k) Plan Matching + Profit Sharing 
• Employee Assistance Program 
• Paid Time Off 
• 8 Paid Holidays