Billing Specialist

Southwest Ohio ENT Specialists Inc•Dayton, OH

4d•$17 - $22•Onsite

About The Position

The Billing Specialist is responsible for Accounts Receivable Management, working all denied claims, and seeking full payment from specific insurance carriers. This role involves preparing appeals for incomplete or non-payments with proper documentation, as well as researching, analyzing, and reconciling billing and reimbursement practices.

Requirements

High School Diploma or equivalent
Minimum 3-5 years medical billing experience.
Proficiency in using computers and ability to learn various software.
Superior organizational and problem-solving skills, and attention to detail.
Familiarity with medical billing systems, ICD-10, CPT, medical coding, and basic medical terminology.
Ability to work well in a team environment.
Strong communication (verbal and written) skills.

Responsibilities

Works in practice management systems Collection Module and/or Aging Reports to identify aged/denied claims and pull necessary information to investigate claims.
Actively follows up on outstanding claim balances by checking claims on the carrier’s website or by calling insurance companies and other payers.
Prepares appeals paperwork for all payers by gathering supporting documentation.
Recognizes and appropriately reports problems or negative patterns to support maximization of billing and collections.
Works claims hitting edits in TriZetto Provider Solutions (Clearinghouse).
Avoids and/or resolves errors that may lead to undo write-offs or insurance rejections.
Identifies accounts requiring charge or payment corrections.
Credentials new physicians, nurse practitioners, audiologists, and SLPs for the insurance carriers they are responsible for.
Runs collection reports per physician to call and collect outstanding balances prior to the next visit or communicates to the scheduler to cancel appointments.
Responds to emails from the Patient Services team regarding patients in collections, then calls the patient to collect outstanding balances.
Handles phone work as scheduled, including incoming calls requesting account information and making outgoing calls for account investigation.
Reviews weekly statements and sends letters or emails to patients to collect payment prior to sending to collections.
Provides backup phone coverage and other office responsibilities as a member of the Billing Team.
Handles other duties and special projects as assigned.