Billing Specialist

Nulton Diagnostic & Treatment Center•Johnstown, PA

About The Position

BILLING SPECIALIST Position Description: We are looking for a Billing Specialist to join our Team! 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. Additional responsibilities will include: a. Post payments from insurance and clients b. Management of the denials/rejections c. Reading and understanding 835 files d. Generate 1500 form claims via paper or electronically e. Navigate insurance websites/maintain user status f. General billing duties related to the scope of the position, but not mentioned specifically above.

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
At least one year of billing experience preferred
Must be able to obtain Act 33, Act 34 and FBI clearances

Responsibilities

Speaking with insurance companies
Obtaining prior authorizations
Daily entry of data
Determining insurance eligibilities
Check eligibilities on patients
Communicate directly with patients regarding billing
Obtain authorizations
Update and maintain patient insurance in the current software
Post payments from insurance and clients
Management of the denials/rejections
Reading and understanding 835 files
Generate 1500 form claims via paper or electronically
Navigate insurance websites/maintain user status
General billing duties related to the scope of the position, but not mentioned specifically above.