Billing Specialist (Hospital Billing)
About The Position
The Billing Specialist position bills medical claims - verifies and audits for accuracy and submits billing claim to patient or other third-party payers. Receives and resolves inquiries regarding accounts, either in-person, by phone or written correspondence from patients, family members, third-party payers, physicians, etc. Researches, identifies and rectifies any special circumstances affecting delayed payment of accounts. Maintains an account aging process for tracking accounts approaching 30 days past billing date. Maintain knowledge of third party reimbursement systems. Assist as needed in posting payment and adjustments. Keeps up to date with status and regulations that affect collection of receivables; monitors third-party contract payment arrangements, both private and governmental. Maintains the completeness and accuracy of patient’s computerized financial file. Processes refunds, adjustments or corrections to patient account(s) according to policy guidelines. Performs other duties as assigned.
Requirements
- GED or High School Diploma required.
- Related to health care billing preferred.
Nice To Haves
- Associate Degree in Business or Medical field preferred.
Responsibilities
- Bills medical claims, verifies and audits for accuracy, and submits billing claims to patients or other third-party payers.
- Receives and resolves inquiries regarding accounts via in-person, phone, or written correspondence from patients, family members, third-party payers, physicians, etc.
- Researches, identifies, and rectifies special circumstances affecting delayed payment of accounts.
- Maintains an account aging process for tracking accounts approaching 30 days past billing date.
- Maintains knowledge of third-party reimbursement systems.
- Assists as needed in posting payments and adjustments.
- Stays up-to-date with status and regulations affecting the collection of receivables.
- Monitors third-party contract payment arrangements, both private and governmental.
- Maintains the completeness and accuracy of the patient's computerized financial file.
- Processes refunds, adjustments, or corrections to patient account(s) according to policy guidelines.
- Performs other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
