Billing Specialist

Hart Medical Equipment•Grand Blanc, MI

11d•Onsite

About The Position

Coordinates insurance and billing related activities associated with the care of service provided to the customers of the company.

Requirements

Professional, proactive and positive with internal and external customers and coworkers.
High school diploma or general education degree (GED).
Minimum of six (6) months in a medical related field and/or training; or equivalent combination of education and experience.
Excellent interpersonal, written and verbal communication skills.
Attention to detail
Good data entry skills
Proficiency with computers, with strong typing skills.
Good organization skills
Proficient English (verbal, written)

Responsibilities

Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.
Initiate private pay collections after insurance cancellation, denial or other issue.
Obtaining referrals and pre-authorizations as well as eligibility and verification of benefit when required.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Following up on unpaid claims within standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Identifying and billing secondary or tertiary insurances.
Maintain accuracy of tables as well as inform management with rate changes.
Check to see if claims remain unpaid and follow up with patients and insurance companies to determine the cause of the delay and to keep the billing cycle on track.
Look into claims that are denied and research how to modify the claim to ensure it is processed correctly at maximum reimbursement.
Answer inquiries made by patients, insurance companies, or fellow employees regarding assigned accounts, the billing process or the appeals process. This includes reviewing for accuracy, completeness, and obtaining missing information.
Maintain complete understanding and knowledge of all reimbursement requirements for assigned payer as well as general knowledge for payers outside of those assigned.
Communicate policy changes/issues to management so information can be communicated out to other areas of company.
Liaise between payers/provider representatives when necessary.
Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the billing team and the organization.
Serves as troubleshooter for accounts receivable problems and as back-up troubleshooter for complete system.
Other duties as requested by Management.