Billing Specialist I

Billing Specialist

The Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. The individual actively follows up on outstanding claims and / or charges.

Essential Duties And Responsibilities :

• Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
• Analyzes and resolve billing issues, keeping A / R to no more than 10% over 60 days.
• Processes daily correspondence, claim status, handle denials, appeals and re-bills.
• Answers billing questions and inquiries from patients and internal staff.
• Updates patient files with address changes, contact information changes, etc., as needed.
• Reviews all policy changes on a regular basis and informs supervisor and charge entry specialist of such changes.
• Efficiently navigates assigned insurance companies' proprietary websites to find policies, research payments, etc.
• Keeps supervisor apprised of matters regarding accounts receivable.
• Responds to requests from billing company in a timely fashion.
• Researches denials and submits correct claims / medical documentation.
• Reviews and manages claims within the work dashboard hold buckets for resolution.
• Creates, maintains and updates reports, as directed.
• Exercises confidentiality in all areas, abiding by HIPAA rules and regulations.
• Participates in and complete all required trainings and in-services.
• Performs other duties as assigned.

Minimum Qualifications :

Preferred Qualifications :

Driving / Travel :

The employee must have reliable transportation. While the primary workplace may be closest to the employee's home, work assignments could be in any of the Company's locations.

Compensation And Benefits :