Ancillary Billing Specialist

Central Ohio Primary Care•Westerville, OH

10d•Onsite

About The Position

The Ancillary Billing Specialist monitors denial trends, produces revenue and claims reports, and works claims denied by insurance carriers. The role processes appeals and provides additional information needed to obtain reimbursement. It provides guidance and information to the ancillary operations team to manage current billing and claim issues and plan future strategy. The specialist works exclusively with ancillary service lines, including imaging/radiology, physical therapy, cardiac testing, and infusion services. This is a full-time, benefits-eligible position based in Westerville, Ohio, with a Monday–Friday schedule from 8:00 a.m. to 5:00 p.m. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

At least 1 year of experience in healthcare revenue cycle.
Experience working with Epic EHR.
Understand medical insurance, including Commercial, Medicaid, and Medicare, and the claims process.
Demonstrate a high level of confidentiality.
Working knowledge of Office 365, including Teams, Word, Excel, and Outlook, and EHR systems such as Epic.
Ability to learn new software systems.
Self-motivated, with the ability to work independently or as part of a team.
Ability to perform multiple tasks while applying time-management skills.
Strong analytical skills, including the ability to identify issues, root causes, and resolutions.

Nice To Haves

High school diploma or GED.
Experience developing financial reports and identifying trends.

Responsibilities

Work aged-account listings and respond to incoming correspondence from insurance payers and/or sites to resolve billing issues delaying reimbursement.
Develop billing, collections, and denial reports for each service line.
Collaborate with partners and vendors to ensure information is shared correctly and promptly.
Analyze patient accounts, identify billing issues, and determine solutions with insurance companies; take appropriate actions such as refiling claims, requesting adjustments, or issuing refunds.
Update patient demographic information and make necessary system corrections to patient accounts.
Act as a liaison between patients and payers when needed, providing clear and accurate billing or other pertinent information to expedite payment.
Research accounts to provide clear and accurate information.
Report trends or specific insurance-claim issues to management.
Recommend quality or process improvement initiatives to perform job functions more effectively and efficiently.
Follow HIPAA confidentiality guidelines for releasing financial and medical information.
Maintain the values and philosophy of the company’s mission statement.
Attend meetings and complete training with the Revenue Cycle and Ancillary teams as needed.
Perform other duties as assigned by management.