Billing Specialist

Baxter • Houston, TX

6d • Hybrid

About The Position

The Billing Specialist will oversee the billing process for customers and patients. They will coordinate and execute processes of front-end medical billing of commercial insurance and government program claims for all Cardiology devices. This consists of: Ensure all posting of charges are accurate, submit and re-submit billing data to the appropriate insurance providers, process claims, resolve denial instances, and achieve maximum reimbursement for services provided across all lines of business (Commercial/Medicare/Medicaid, etc). The position is responsible for ensuring the efficiency of billing operations by following federal and state billing regulations.

Requirements

• High school diploma or equivalent required
• 3+ years of experience in a medical related business environment required
• Billing database software experience required
• Proven data entry skills required
• Ability to organize and prioritize workload
• Strong attention to detail and accuracy
• Ability to work independently and manage workload
• Strong written, verbal, and interpersonal communications
• Must be proficient in Excel
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time

Nice To Haves

• Associate degree or higher preferred
• Clearinghouse and payer portal experience preferred

Responsibilities

• Review supporting documentation and posted charges for completeness and accuracy.
• Identify missing / inaccurate information and gather / correct, as necessary in accordance with billing guidelines.
• Complete quality review of patient files to ensure claims are billed accurately and comply with each payer’s rules and regulations.
• Generate commercial insurance and government program claims in system and review for accuracy.
• Conduct audits regularly.
• Perform necessary follow-up functions for timely processing of claims, including, EDI submission via clearinghouse, printing of claims, sorting attachments and mailing when applicable.
• Assist with managing unbillable revenue, clearinghouse rejected claims, and other reports daily, and provide updates to management as needed.
• Reference reimbursement policies/procedures assigned to this role and maintain current knowledge with changes in billing regulations, insurance specific policies, as well as company policy and procedures.
• Identify any areas of opportunity for improved documentation or efficiency in daily work and communicate back to Revenue Cycle Supervisor.
• Follow-up on unbilled claims within the required billing time frames.
• Follow-up with any insurance companies regarding any discrepancies to payments.
• Quality review of patient and insurance accounts for follow-up as needed to ensure ICD-10 diagnosis is properly documented.
• Perform other project and duties as assigned.

Benefits

• medical and dental coverage that start on day one
• insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
• Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
• 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
• Flexible Spending Accounts
• educational assistance programs
• paid holidays
• paid time off ranging from 20 to 35 days based on length of service
• family and medical leaves of absence
• paid parental leave
• commuting benefits
• Employee Discount Program
• Employee Assistance Program (EAP)
• childcare benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED