Billing Specialist

Charles Drew Health CentersOmaha, NE
$20 - $27Onsite

About The Position

We are looking for a goal oriented, revenue driven, highly accurate and motivated biller to join our team. The Billing Specialist will review charges submitted and process claims for payment and application of the sliding fee schedule. This includes resolving internal claim edits to ensure claims are submitted cleanly including adjustment claims, correction of rejections and/or denials. This position is also responsible for responding to patient billing inquiries. Secondary duties include, but are not limited to: entry of patient demographic information, guarantor and insurance information and patient payment processing.

Requirements

  • Computer proficiency particularly experience using practice management software, word processing and spreadsheet applications.
  • Minimum of 40 wpm typing speed.
  • 10-key by touch.
  • Experience in CPT and ICD-9 coding.
  • Excellent customer service skills.
  • Kempt appearance with satisfactory dictation and demeanor.
  • Positive attitude.
  • High School diploma or equivalent required.
  • Computer proficiency.
  • Strong interpersonal and organizational skills.
  • Proficient verbal, written, and reporting skills.
  • Microsoft applications (experience with Excel required).
  • Internet and email proficiency.
  • Experience collecting, reviewing, and presenting data.
  • Good record keeping methods.
  • Ability to achieve measureable outcomes.
  • Ability to manage time, multi-task, and work with patients, clients, and fellow employees.
  • Familiarity with medical terminology.
  • English fluency.

Nice To Haves

  • Associates Degree in Medical Billing and Coding preferred.
  • Two years of billing experience strongly preferred.

Responsibilities

  • Review charges submitted and process claims for payment and application of the sliding fee schedule.
  • Resolve internal claim edits to ensure claims are submitted cleanly including adjustment claims, correction of rejections and/or denials.
  • Respond to patient billing inquiries.
  • Enter patient demographic information, guarantor and insurance information.
  • Process patient payments.
  • Timely follow-up on insurance claim denials, exceptions or exclusions.
  • File claim appeals with insurance companies to maximize entitled reimbursement.
  • Submit all claims with minimal to no errors, and verify completeness and accuracy of all claims prior to submission.
  • Read and interpret insurance explanation of benefits.
  • Meet regularly with Revenue Cycle Team to discuss and resolve reimbursement issues or billing obstacles.
  • Attend monthly staff meetings and continuing educational sessions as requested.
  • Manage relationships with various insurance payers.
  • Perform to company compliance standards with policies and procedures.
  • Other duties as assigned.
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