ECI Billing Specialist

Community Action Corporation of South Texas•Alice, TX

22h

About The Position

Performs complex clerical and accounting functions related to patient billing, including maintaining third-party billing records and resolving insurance issues. Follows up on submitted claims and patient billing, resubmits claims, and resolves billing problems while working with others in a team environment. The role also performs general clerical duties and protects the confidentiality of financial records.

Requirements

At least one year of experience in a medical office setting.
Two years of prior employment experience in medical billing.
High school diploma or equivalent.
Computer skills and experience maintaining automated recordkeeping systems.
Good written and oral communication skills.

Nice To Haves

Medical billing certification is preferred but not required.

Responsibilities

Assist in obtaining insurance pre-authorization when necessary and compile and submit required documentation to insurers.
Process patient billing and third-party reimbursement claims; maintain supporting documentation and current patient addresses.
Process patient statements, enter data, post transactions, and verify the accuracy of generated reports.
Research and respond to patient billing inquiries in person, by telephone, or in writing.
Work with staff to ensure correct diagnoses and procedures are reported to third-party insurers.
Follow up on submitted claims, monitor unpaid claims, initiate tracers, and resubmit claims as necessary.
Post and reconcile payments to patient ledgers.
Balance daily batches and reports; prepare income reports and statistics and distribute reports as requested.
Follow and report the status of delinquent accounts.
Review accounts receivable and make collection recommendations to the supervisor.
Maintain patient demographic information and data collection systems.
Maintain billing and filing records according to established protocol.
Perform general clerical duties and other routine functions.
Ensure strict confidentiality of financial records.
Perform other duties as assigned.