Billing Support Staff

Description

This job description is intended to reflect in general the duties and responsibilities of this position and should not be interpreted as being all inclusive. The company reserves the right to modify the duties and responsibilities of this position as necessary.

JOB SPECIFICICATIONS:

This person reports to the Billing Specialist/Team Leader. The person filing this position should be familiar with automated accounting systems, and should possess good analytical skills, and have the ability to work efficiently with minimal supervision. This person should also be able to accomplish key responsibilities within established guidelines and deadlines.

KEY RESPONSIBILITIES:

• Process billing consistent with terms of state contracts and third party payers.

• Process remittance advice (EOB) relative to electronic payments.

• Liaison between program managers and business office on all billing issues as it relates to adjustments, write-offs, credits and re-bills.

• Follow-up on all denials and resubmit billings as required.

RELATED RESPONSIBILITES:

• Assist with the preparation of the annual external audit as it relates to billing.

• Work closely with program managers to process billing in an efficient and timely manner according to schedule.

• Other related duties as assigned by supervisor.

EDUCATIONAL REQUIREMENTS:

B.S. in Accounting preferred. Experience in lieu of education will be considered.


EXPERIENCE/QUALIFICATIONS:

Proficient knowledge of third party insurance carriers (Blue Cross, United Healthcare and other commercial insurance carriers) and fee for service state contracts. Experience with Medicare and Medicaid reimbursement procedures helpful. Previous billing and follow-up skills required.

COMPUTER SKILLS:

Knowledge of spreadsheet applications including Word and Excel.