Revenue Cycle Billing Specialist

Eau Claire Cooperative Health Center dba Cooperative Health • Columbia, SC

102d

About The Position

The Revenue Cycle Specialist-Biller 1 is responsible for tracking, collecting, posting and managing claims from the time of claim submission to payment. Maintenance of all billing related documentation to insure accurate and timely billing in strict compliance with Medicare, Medicaid, commercial insurance and private pay reimbursement sources. Responsible for follow up on all accounts receivable balances.

Requirements

• 3+ years of previous medical collections experience in Adult, Family Practice and/or Pediatrics with general insurance billing practice knowledge, required.
• Must have 3-4 years of experience in CPT & ICD-9/10 Coding.
• Billing related background in physician clinic setting preferred with experience in managing accounts receivable.
• Athena experience preferred.
• Minimum Associate degree. Additional appropriate education may be substituted for one year of billing experience.
• Individuals who are bilingual are encouraged to apply.

Responsibilities

• Prepares and submits clean claims to various insurance company's either electronically or by paper.
• Answers questions from patients, internal staff and insurance companies.
• Contacts insurance companies regarding problem or unpaid claims.
• Ongoing review of aging reports to determine reason for unpaid claims.
• Identifies and resolves patient billing inquiries.
• Prepares, reviews, and sends patient balance letters.
• Tracks and reports status of delinquent claims.
• Ensures that all charges are processed within acceptable time period by insurance payer.
• Performs various collection actions including contacting insurances and patients by phone.
• Documents and follows up on claims, client requests and issues.
• Corrects and resubmits claims to payers.
• Tracks and manages claim denials from insurance companies.
• Processes payments from insurance companies and prepares a daily deposit.
• Participates in educational activities and attends monthly staff meetings.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Maintains knowledge of all new features, functions, issues, and upgrades of Athena.
• Perform other duties as assigned.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: Associate degree
• Number of Employees: 251-500 employees