BILLING SPECIALIST (12777)

CULLMAN REGIONAL•Cullman, AL

77d•Onsite

About The Position

This position is responsible for accurate patient registration and charge entry, patient billing and insurance claims filing, and posting payments to accounts. The role also involves resolving patient and insurance credit balances, assisting walk-in customers, answering phones, and working aged insurance claims to obtain reimbursement. The Billing Specialist will submit payer appeals, complete follow-up for final resolution, pull records for medical review/subpoena, and file/retrieve paper and electronic claims and remittance advice reports. Additionally, the role involves working claim denials to ensure maximum reimbursement and entering accurate documentation of account handling. The position also requires demonstrating and encouraging team behavior, exceptional patient/guest experiences, and upholding patient safety and quality.

Requirements

High School Diploma or equivalent.
One year working in Medical Billing.
Must be self-directed / self-motivated.
Must have good communication and interpersonal skills.
Must be able to perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure.
Must be able to work independently.
Must be able to recognize the rights and responsibilities of patient confidentiality.
Must be able to relate to others in a manner which creates a sense of teamwork and cooperation.
Must be able to maintain a customer focus and strive to satisfy the customer's perceived need.

Responsibilities

Completes accurate patient registration and charge entry.
Performs patient billing and insurance claims filing.
Accepts and posts payments to accounts.
Resolves patient and insurance credit balances as assigned.
Receives walk in customers and answers phone promptly.
Works aged insurance claims to obtain reimbursement.
Submits payer appeals as necessary and completes follow-up for final resolution.
Pulls records for medical review/subpoena per policy.
Files and retrieves paper and electronic claims and remittance advice reports.
Works claim denials to ensure maximum reimbursement for services provided.
Enters accurate and thorough documentation of pertinent events regarding the handling of the account including research of prior accounts.
Demonstrates and encourages team behavior and exceptional patient/guest experiences.
Upholds and promotes patient safety and quality.