ECI Billing Specialist

Community Action Corporation of South Texas•Corpus Christi, TX

22h

About The Position

Performs complex clerical and accounting functions for patient billing, including maintaining third-party billing records and resolving insurance issues. Follows up on submitted claims and patient billing, resubmits claims or resolves problems, and works with others in a team environment. The role also handles general clerical duties and maintains 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.
Ability to perform light to medium physical duties, including standing, walking, reaching, bending, hearing, and talking for up to eight hours a day.
Good vision, with or without corrective lenses.
Ability to lift 20 pounds; lifting primarily involves occasional on-premises lifting of boxes of office supplies and minor office equipment.

Nice To Haves

Medical billing certification preferred, but not required.

Responsibilities

Assist in obtaining pre-authorization from insurance carriers when necessary and compile and submit required documentation.
Process patient billings and third-party reimbursement claims; maintain supporting documentation files and current patient addresses.
Process patient statements, key data, post transactions, and verify the accuracy of input to generated reports.
Research and respond to patient billing inquiries and problems in person, by telephone, or in writing.
Work with staff to ensure correct diagnoses and procedures are reported to third-party insurance carriers.
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 in accordance with established protocol.
Perform general clerical duties and other routine functions.
Ensure strict confidentiality of financial records.
Perform other duties as assigned.