Ancillary Billing Specialist

Central Ohio Primary Care•Westerville, OH

9d•Onsite

About The Position

The Ancillary Billing Specialist monitors denial trends, produces revenue and claims reports, and works claims denied by insurance carriers, including processing appeals and providing information needed to obtain reimbursement. The role provides guidance and information to the ancillary operations team to address current billing and claim issues and plan future strategy. Work focuses on ancillary service lines, including imaging/radiology, physical therapy, cardiac testing, and infusion services. This is a full-time, benefits-eligible position, Monday through Friday, 8:00 a.m. to 5:00 p.m., in Westerville, Ohio.

Requirements

At least 1 year of experience in healthcare revenue cycle.
Experience working with Epic EHR.
Understanding of commercial, Medicaid, and Medicare medical insurance and the claims process.
Ability to demonstrate a high level of confidentiality.
Working knowledge of Office 365, including Teams, Word, Excel, and Outlook, and EHR systems such as Epic.
Adaptability to learn new software systems.
Self-motivation and ability to work independently or as a team member.
Ability to perform multiple tasks while using 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 analyzing trends.

Responsibilities

Work listings of aged accounts and respond to 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 correct information is shared promptly.
Analyze patient accounts, identify billing issues, and determine solutions with insurance companies.
Take appropriate actions, such as refiling claims, requesting adjustments, and processing 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.
Conduct research to provide clear and accurate account information.
Report insurance-claim trends or specific issues to management.
Recommend quality or process improvements to perform job functions more effectively and efficiently.
Follow HIPAA confidentiality guidelines regarding the release of financial and medical information.
Maintain the values and philosophy of the company mission statement.
Attend meetings and complete training with the Revenue Cycle and Ancillary teams as needed.
Perform other duties assigned by management.