BILLING SPECIALIST AGENT

The Billing Specialist Agent is responsible for managing the financial aspects of patient care, including insurance claims, patient billing, payment processing and claims submission. The Billing Specialist Agent will ensure accurate and timely billing, follow up on unpaid claims and outstanding patient balances. Responsibilities & Duties: Prepare, review, and submit clean claims to insurance carriers Post payments, reconcile accounts, and handle adjustments, refunds, and write-offs as appropriate Identify denial trends and root causes, implementing corrective actions to prevent future issues Actively follow up on unpaid claims and patient balances, with a focus on reducing aging (60, 90+ days) Answer patient billing questions, explain invoices and assist with payment plans Utilize EMR systems and billing systems to manage patient information, insurance denials, and billing records Maintain compliance with HIPAA regulations and billing laws and guidelines Document and maintain records on each open claim Perform necessary follow-up to ensure proper payment is received Identify and resolve billing issues Follow up on report status of past insurance and patient accounts Perform proactive collections efforts through outbound calls to insurance companies and patients Work daily insurance correspondence as needed Answer questions from patients, co‑workers, and insurance companies Work Hold Buckets Any other duties as assigned Job Specifications: Must be able to provide professional, responsive, and positive customer service Must be able to verify insurance eligibility for Psychiatry, Neurology and Primary Care Providers Ability to sit for long periods of time working at a desk and accessing a variety of systems Accuracy with attention to detail Ability to manage time and meet goals and deadlines Ability to work both independently and/or as part of a team in a fast‑paced environment Strong analytical and problem‑solving skills Well organized; ability to prioritize multiple projects and deadlines and be able to multi‑task Ability to work under pressure Good customer service skills including sound sensitivity judgement and courteous phone manner High energy: productive work habits, flexible and adaptable to change Experience with computer programs Requirements: High School or equivalent 2–4 years’ experience with medical accounts receivable Experience managing aged AR and collections required Knowledge of medical coding and claims #J-18808-Ljbffr Salience TMS Neuro Solutions, LLC