Billing Specialist
About The Position
GENERAL SUMMARY OF DUTIES: Gathers information about patient accounts and corrects or forwards information to insurance companies on a regular basis. Following-up on specified accounts and makes sure the final follow-up is complete. Gathers charge information, codes, enters in a database, completes billing process, and distributes billing information accordingly. DUTIES PERFORMED: Constantly assists with patient questions and payments. Constantly perform keying and posting charges. Frequently submits billing data to the appropriate insurance providers Frequently resolves denial instances Frequently achieves maximum reimbursement for services provided Occasionally post payments when needed, accurately and in a timely manner. Constantly enters patient information into the system accurately. Occasionally works through the refunding process for insurance and patient accounts. Occasionally assist on other projects. Conduct duties in a professional and timely fashion Performs other duties as assigned.
Requirements
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge of coding and clinic operating policies as well as knowledge of working with insurance vendors.
- Ability to examine documents for accuracy and completeness.
- Ability to prepare records in accordance with detailed instructions.
- Ability to work effectively with patients.
- Ability to communicate clearly and maintain confidentially.
- Ability to understand and effectively work in Microsoft Office, including Microsoft Excel, practice management systems, and electronic medical record system.
- Ability to organize, prioritize, and manage multiple priorities.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization.
- Ability to use creative problem-solving skills
- High school or GED
- Minimum of two years with all aspects of medical billing (i.e., CPT, ICD-10, charge entry, payment entry and A/R follow-up)
- Extensive knowledge of medical insurance and coding (i.e., CPT, ICD-10, Medical Terminology, and Medicare Guidelines)
Responsibilities
- Gathers information about patient accounts
- Corrects or forwards information to insurance companies
- Follows-up on specified accounts
- Gathers charge information
- Codes and enters information in a database
- Completes billing process
- Distributes billing information
- Assists with patient questions and payments
- Performs keying and posting charges
- Submits billing data to insurance providers
- Resolves denial instances
- Achieves maximum reimbursement for services provided
- Posts payments when needed
- Enters patient information into the system
- Works through the refunding process for insurance and patient accounts
- Assists on other projects
- Performs other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
251-500 employees
