Billing Specialist

Convatec • Oklahoma City, OK

7d • Remote

About The Position

Performs accounts receivable functions including billing, pursuing reimbursement, customer service, and record keeping.

Requirements

• Must have a high school diploma, college degree preferred, not required.
• Six months to one year of related experience and/or training; or equivalent combination of education and experience.
• Proficient in use of computers and software including, but not limited to: practice management software, word processing and spreadsheet applications.
• Detail oriented with ability to multi-task.
• Manages one’s own time with minimal supervision.
• Strong mathematics and problem-solving skills.
• Seeks and shares pertinent information related to insurance or internal processes.
• Communicates effectively both verbally and in writing to convey and receive information.
• Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Self-evaluates performance to make improvements or take corrective action.
• Consider the relative costs and benefits of potential actions to choose the most appropriate one.
• Use equipment, facilities, and materials appropriately as needed to do certain work.
• This position must commit to 9 months in the role before applying for alternative roles within the organization. Exceptions must be approved by Department leadership.

Nice To Haves

• college degree preferred, not required.

Responsibilities

• Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers. Verifies accuracy and completeness of all required information prior to submission.
• Follows up with insurance companies on unpaid or rejected claims. Resolves issues and resubmits claims.
• Reads and interprets insurance explanation of benefits. Maintains specialized knowledge in insurance processes and guidelines, including authorizations and limitations.
• Investigates insurance claim denials, exceptions, or exclusions. Takes necessary action to resolve claim and payer issues in an effort to recover proper reimbursement.
• Provides customer service relating to all billing inquiries and complaints. Able to explain insurance processes, benefits, and exclusions. Follows HIPAA guidelines in handling customer information.
• Performs other billing duties as requested by the Billing Supervisor, Billing Manager, or Director of Billing.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED