Billing Specialist

Billing Specialist

What You Will Do

Verifies that all charges, payments and adjustments are entered within three days from the date of service or receipt of payment. Verifies system balances on a daily basis. Notifies supervisor if entries are delayed or if systems do not balance. Drives process for calling insurance companies to check on benefits and verifies that correct information is in Soarian and AEMR. Ensures that each patient visit has a charge document for services rendered. Obtains CPT and ICD-10 codes from physician or provider when missing from charge documents. Answers basic questions and documents from third party payors and patients. Informs supervisor of problem issues for appropriate follow-up. Reviews the aging report on a weekly basis and determines reasons for unpaid balances. Initiates follow-up on accounts receivable activities according to UH accounts receivable policy. Maintains schedule for generation of patient statements and third party claims. Reviews third party billing manual for compliance and maximum reimbursement issues for the practice. Informs supervisor of coding concerns, reviews new procedures within the practice with supervisor for coding accuracy. Identifies methods for reducing CSA fees and implements procedures. Listens courteously and responds to patient questions, concerns, and/or refers to the appropriate individual. Assists front desk and/or patient flow as needed. Works with A/R (and A/R report) to retrieve unpaid charges. Works with operation leadership team on additional ad hoc projects Work with operation leadership on the creation/ management of financial reports

Additional Responsibilities

Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Qualifications

Education: High School Equivalent / GED (Required) and Associate's Degree (Preferred)

Work Experience: 1+ years of related billing experience. (Required) and 3+ years Of work experience managing administrative tasks (Required) and 1+ years managing programs or projects. (Required)

Knowledge, Skills, & Abilities

Must have excellent interpersonal and communication skills; relate effectively with a wide variety of people (Required proficiency) computer literate with 40 wpm typing ability (Required proficiency) medical terminology (Required proficiency) Understanding of third party reimbursement requirements, CPT and ICD-10 coding. (Required proficiency) Demonstrated track record of working effectively within a team but has ability to work independently and prioritize (Required proficiency) Exceptional understanding of IT systems; ability to independently learn new systems and troubleshoot (Required proficiency) Excellent organizational skills (Required proficiency) Exceptional writing skills (Required proficiency) Exceptional customer service instinct (Required proficiency) Proficient use of all Microsoft Office programs, especially Microsoft Excel, Word, and PowerPoint (Required proficiency) Detail-oriented with ability to understand the big picture (Required proficiency) Problem-solving ability (Required proficiency) Manage multiple projects (Required proficiency) Customer Service experience (Required proficiency) Finance and/or revenue cycle (Required proficiency)

Physical Demands

Standing Occasionally Walking Occasionally Sitting Constantly Lifting Rarely up to 20 lbs Carrying Rarely up to 20 lbs Pushing Rarely up to 20 lbs Pulling Rarely up to 20 lbs Climbing Rarely up to 20 lbs Balancing Rarely Stooping Rarely Kneeling Rarely Crouching Rarely Crawling Rarely Reaching Rarely Handling Occasionally Grasping Occasionally Feeling Rarely Talking Constantly Hearing Constantly Repetitive Motions Frequently Eye/Hand/Foot Coordination Frequently

Travel Requirements 10%

Primary Location: United States-Ohio-Willoughby

Other Locations: United States-Ohio-Willoughby

Work Locations: 36100 Euclid Ave Willoughby 44094

Job: Administrative Support

Organization: Lake_West_Medical_Center

Schedule: Full-time

Employee Status: Regular-ShiftDays

Job Type: Standard

Job Level: Entry Level

Travel: Yes, 15 % of the Time

Remote Work: No

Job Posting: Jul 13, 2026, 7:07:58 PM

University Hospitals