Billing Specialist

Nulton Diagnostic & Treatment CenterJohnstown, PA
Onsite

About The Position

The Billing Specialist is responsible for all aspects of medical billing within our Agency. Duties include, but are not limited to: speaking with insurance companies, obtaining prior authorizations, daily entry of data, and determining insurance eligibilities. The Billing Specialist will also check eligibilities on patients, communicate directly with patients regarding billing, obtain authorizations and update and maintain patient insurance in the current software.

Requirements

  • High School Diploma or equivalent
  • Excellent communication skills
  • Computer skills
  • Knowledge of Medicare, Medicaid, Commercial and Third-Party Insurers
  • Efficient knowledge of eligibility verification and claims processing
  • Must be able to obtain Act 33, Act 34 and FBI clearances

Nice To Haves

  • At least one year of billing experience preferred

Responsibilities

  • Speaking with insurance companies
  • Obtaining prior authorizations
  • Daily entry of data
  • Determining insurance eligibilities
  • Checking patient eligibilities
  • Communicating directly with patients regarding billing
  • Updating and maintaining patient insurance in the current software
  • Posting payments from insurance and clients
  • Management of denials/rejections
  • Reading and understanding 835 files
  • Generating 1500 form claims via paper or electronically
  • Navigating insurance websites/maintaining user status
  • General billing duties related to the scope of the position, but not mentioned specifically above

Benefits

  • Medical
  • Dental
  • Vision benefits
  • 401(k) Retirement Plan with matching company contributions
  • Paid vacation
  • Paid holidays
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