Billing Specialist

Central Billing Office Billing Specialist

Working within a practice environment, individual will be placed in a primary office location(s) with a direct report to the Director of the Central Billing Office or their designee and with a dotted line reporting to the physician office manager. Working within centralized billing environment staff will report directly to the Director of the Central Billing Office or their designee. Work collaboratively with CBO back office and or front office staff within the physician practice to achieve organizational objectives and goals. Maintain an efficient billing process for the handling of patient accounts within their assigned practice(s); exhibit proficiency in all aspects of the Central Billing Office functions. Perform and maintain a "Best Practice" billing process and workflow. Serve as a resource for office staff regarding demographic, insurance and lab process training. Will assist patients with regards to insurance and benefit information. Will demonstrate and provide excellent customer service ensuring patient satisfaction. Focus on continued process improvement for both practice and CBO functions. Must be flexible and may be required to assist at other locations for coverage issues as necessary. Good understanding of billing and collection practices and laws. Maintains good attendance and attends all required staff meetings.

Responsible for the accurate entry of charges, reconciliation of daily office charges and offsite procedures and visits, with attention to demographics and code compatibility maintaining 99% accuracy rate, performs end of day proof of charges entered.

Responsible for the accurate posting of time of service payments, problem resolution and daily proof. Reviews Capitation reports and is responsible for notifying practice manager of any issue.

Responsible for handling patient billing calls, onsite questions from patients regarding billing and insurance benefits and online patient inquiries coming directly into the practice while demonstrating a thorough understanding of patient bills and a patient friendly approach to inquiries.

Maintains an efficient system for the daily electronic submission of claims, identifying errors and making the necessary corrections to ensure timely submission to payers. Ensures all unbilled / pending encounters are completed or corrected on a daily basis.

Performs monthly review of charges, prints necessary reports, troubleshooting of billing issues and notifying appropriate person(s) of any discrepancies.

Collaborates with Teams and communicates with Management. Is available to assist the CBO back office team on accounts issues and denials as needed communicating to CBO and Practice Management on any issues that are identified.

Other duties as assigned.

Minimum Education :

Required : High School Diploma or Equivalent

Preferred : None

Minimum Years of Experience (Amount, Type and Variation) :

Required : 1 year related medical experience

Preferred : 2 or more years physician office billing onsite or in centralized environment

License, Registry or Certification :

Required : None

Preferred : None

Knowledge, Skills and / or Abilities :

Required : Ability to type, use computer equipment and other office machines. Detail oriented, flexible and multitasking skills. Knowledge of all local financial assistance programs, insurance processing, charge entry, personal balance collection and excellent customer service skills. Must be flexible to assist at other locations for coverage issues when required.

Preferred : Medical office experience and familiarity with medical terminology preferred. Strong customer service and multitasking abilities required

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant's hourly rate and / or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).