Billing Specialist

HealthNet•Indianapolis, IN

2d•Onsite

About The Position

The Billing Specialist at the HealthNet Administration location reviews accounts for assigned payers to reduce accounts receivables and enhance cash flow. The billing specialist follows proper insurance processes, timely follow-up, and resolution of accounts, and provides feedback to management when internal problems resulting in nonpayment of claims are detected. This position is responsible for all aspects of electronic or paper claim submission. Contact patients to make payment plan arrangements. Work with collection agencies to resolve outstanding patient balances. Serve as liaison to third party payers, patients and families, providers and staff and referral sources for communicating billing information. Initiate collection with all insurance carriers on electronically submitted and/or paper claims. Assist with posting mail receipts, Medicare, Medicaid, HMO and PPO payment listings against individual patient accounts. Review third party payment listings and takes appropriate action on accounts in order to avoid account aging. Make recommendations/decisions on account resolution. Review billing for accuracy and completeness. Review and corrects billing and collection problems arising in patient care facilities. Maintain the confidentiality of any patient medical, financial, or personal information and other information records and data to which there is access. When you'll work as a Billing Specialist at HealthNet: Full Time Potential schedule of Monday-Friday 8am-5pm. Job responsibilities listed above is a summary and does not include other tasks requested by Revenue Cycle Manager.

Requirements

Currently not sponsoring for work visa
Requires High School Diploma or GED
Understanding of both Federally Qualified Health Centers and Commercial billing and collections
Certification in coding & billing preferred
Knowledge and understanding of Medicare/Medicaid regulations and billing requirements
Participate in monthly training programs for staff on policies and procedures related to billing and collection, including proper coding, use of sliding fee scales, and financial screening
Strong written and verbal communication skills
Ability to work independently, handle detail and work efficiently and accurately under pressure
Ability to multitask
Ability to handle sensitive patient data and must maintain a high degree of confidentiality
Excellent customer service/listening skills
Reliable transportation required

Nice To Haves

Experience in third party billing/collection with in-depth knowledge of specific third-party payer requirements
Requires working knowledge of medical terminology and basic medical coding practices (UBC; CPT4; HCPCS; ICD-9)
Requires knowledge and proper application of remote electronic inquiry systems for Medicare; Medicaid; Blue Cross and/or all other Commercial payers
Requires ability to process adjustment claims to Medicaid and Medicare payers on resolution of credit balance claims
OB/GYN coding experience preferred
Bilingual in Spanish or Burmese preferred, but not required

Responsibilities

reviews accounts for assigned payers to reduce accounts receivables and enhance cash flow
follows proper insurance processes, timely follow-up, and resolution of accounts
provides feedback to management when internal problems resulting in nonpayment of claims are detected
responsible for all aspects of electronic or paper claim submission
Contact patients to make payment plan arrangements
Work with collection agencies to resolve outstanding patient balances
Serve as liaison to third party payers, patients and families, providers and staff and referral sources for communicating billing information
Initiate collection with all insurance carriers on electronically submitted and/or paper claims
Assist with posting mail receipts, Medicare, Medicaid, HMO and PPO payment listings against individual patient accounts
Review third party payment listings and takes appropriate action on accounts in order to avoid account aging
Make recommendations/decisions on account resolution
Review billing for accuracy and completeness
Review and corrects billing and collection problems arising in patient care facilities
Maintain the confidentiality of any patient medical, financial, or personal information and other information records and data to which there is access