All Pieces Fit
Healthcare and Human Services
- Billing Specialist
We are seeking a self-motivated, professional with excellent written and verbal communication skills to join our team! The successful candidate will be responsible for a variety of tasks including, but not limited to, pursuing collection of all claims until payment is made by insurance companies, appealing denied claims and prepare and submit billing data to insurance companies.
Verify accuracy of billing data and revise any errors Operate copy, scan and fax machine Answer mail or telephone inquiries regarding rates, routing, or procedures Collect and review referrals and pre-authorizations Prepare and submit billing data and medical claims to insurance companies Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains Calling insurance companies regarding any discrepancy in payments if necessary Keeps updated on all billing and benefit changes for third-party insurance carriers Monitors claims for missing information and authorization/control numbers Ensure the patient’s medical information is accurate and up to date Investigate and appeal denied claims Maintain billing software by updating rate change, spreadsheets, and current collection reports Track accumulated hours and dollar amounts charged to each client job to calculate client fees for services Maintain confidentiality of all information Performs other billing related duties as assigned Must be highly organized Must be available full-time hours (Minimum 40 hours per week) Must be able to sit for an extended period of time Education and Skill Level
High School Diploma (or GED or High School Equivalence Certificate) Associate degree (Bachelor's Degree in business or other related fields preferred) Courses in insurance billing, data processing and medical terminology preferred 1-3 years of prior experience in billing of third-party insurances for facility and/or professional services Active Learning- Understanding the implications of new information for both current and future problem-solving and decision-making Critical Thinking- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems Speaking- Effective communication abilities for phone contacts with insurance payers to resolve issues Writing- Communicating effectively in writing as appropriate for the needs of the audience Problem Solving- Research and resolve discrepancies, denials, appeals and collections Multi Task - Being able to perform a variety of tasks concurrently without losing focus of goals Time Management- Prioritizing tasks and setting goals for completion of tasks Microsoft Office products – Must be proficient in Excel Other Requirements:
Knowledge of insurance guidelines including HMO/PPO, Medicaid and other payer requirements and systems. Competent use of computer systems and software Knowledge of use of Microsoft Office products such as Word and Access Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Knowledge of third-party billing requirements Other duties as assigned