Senior Billing Specialist - FT - Days

Vitruvian Health•Hamilton, OH

About The Position

The Senior Billing Specialist works under minimal supervision and follows standard procedures or written instructions. The role monitors accounts receivable and handles data entry, claims submission, follow-up, and account adjudication. It involves frequent nonroutine duties, resolving most questions and problems independently and referring only the most complex issues to higher levels. The specialist interacts with customers and vendors and builds positive working relationships across the organization and externally to coordinate services effectively and support company goals. This includes relationships with physicians, managers, coworkers at onsite and offsite locations, clinic and hospital colleagues, information systems personnel, patients, families, insurance companies, and government agencies. The specialist ensures accurate and timely processes, may help orient and train junior team members, and works collaboratively toward team, individual, and company goals.

Requirements

High school diploma or equivalent completion.
Six or more years of third-party medical billing or medical collections experience.
In-depth knowledge of medical procedural coding, including CPT and ICD-10, and reimbursement.
Excellent oral and written communication skills for interacting with internal and external customers.
Ability to apply intermediate skills and resolve most questions and problems independently.
Ability to interpret and follow oral and written instructions, policies, guidelines, and standards.
Ability to use good judgment when formal guidelines, policies, or procedures are absent.
Ability to prioritize and manage time effectively.
Working knowledge of medical accounts receivable software programs and PC skills.
Close attention to detail and competence in basic math concepts.

Nice To Haves

College-level coursework is preferred but not required.

Responsibilities

Monitor accounts receivable.
Perform data entry, submit claims, follow up, and adjudicate accounts.
Ensure billing processes are accurate and timely.
Resolve routine and moderately complex questions and problems, referring only the most complex issues to higher levels.
Coordinate services and maintain positive working relationships with internal and external customers, vendors, and other stakeholders.
Interpret and follow oral and written instructions, policies, guidelines, and standards.
Prioritize work and manage time effectively.
May assist with orienting and training junior team members.
Demonstrate teamwork in support of team, individual, and company goals.