Adept HB Billing Specialist

Adept HB Billing Specialist

Join a dynamic healthcare team in the heart of the Midwest region as an HB Billing Specialist. This full-time, day-shift role is perfect for someone passionate about accuracy and patient service in medical billing.

The HB Billing Specialist I is responsible for accurately collecting and entering claims data, posting insurance information, submitting claims, and addressing patient inquiries related to their accounts. This position reports directly to the Billing Supervisor.

Essential duties and responsibilities include:

• Enter detailed information required for insurance claims, including patient and insurance identification data.
• Ensure all claim information is complete and accurate before submission.
• Submit insurance claims electronically or via paper forms such as UB04 and CMS-1500 to clearinghouses or insurance companies.
• Respond to patient questions regarding their financial responsibilities, including copays, deductibles, and write-offs, and resolve complaints or explain coverage limitations.
• Follow up with insurance companies on unpaid or rejected claims, resolve issues, and resubmit claims as necessary.
• Prepare appeal letters to insurance carriers when claims are denied, gathering all necessary supporting information.
• Adhere strictly to HIPAA guidelines when handling patient information.
• Perform soft collections on past due patient accounts, including contacting patients via phone or mail.
• Understand managed care authorizations and coverage limits, such as visit caps.
• Verify patient benefits eligibility and coverage as needed.
• Prepare and submit secondary claims after primary insurer processing.

Education: High School Diploma or GED is required.

Experience: Previous medical billing experience is highly preferred. Familiarity with billing software and electronic data submission is advantageous.

Mental/Physical Requirements: Ability to communicate detailed information clearly, both orally and in writing. Requires normal mental concentration for repetitive tasks over extended periods. Physical ability to stand, walk, sit, reach, and occasionally lift items up to 10 pounds.

Working Conditions: Standard office environment with occasional exposure to noise, fumes, chemicals, hazards, or diseases.