Billing Specialist

Job Description

Job Description

Summary :

The Billing Specialist is responsible for the QA and submission process of claims to the insurance payors through our EMR system.

Essential Duties and Responsibilities :

• Receiving for quality assurance the claims in the EMR system.
• Following up on the claims that need correction with the provider and supervisor.
• On-time submission of claims to maintain the company's cash flow.
• Managing balances and identifying inconsistencies ahead of time.
• Creating reporting to identify trends, opportunities, and conflicts with the claims.
• Support other departments with billing information.
• Credential providers and have insurance contract information updated
• Update the insurance rates in the EMR system.
• Give and deny access to employees in the EMR system depending on their role.
• Connect with the EMR support team if needed.
• Other duties as assigned.

Supervisory Responsibilities :

This position does not oversee staff.

Qualifications :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education / Experience

Required Skills / Abilities

Work Environment :

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The work is typically performed in an office environment, with a moderate noise level.

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.