Join a winning team : As a Billing Specialist, you will be responsible for the maintenance of a major portion of a complex billing operation;
assuring that all information on claims submitted to payors is correct. You understand individual payors and work claim denials to assure that all claims are paid.
You will thrive on the challenge of accepting ownership for accomplishing new and different tasks while exploring opportunities to add value to your job.
Major Areas of Responsibility include but are not limited to :
Claim Submission
- Maintain work operations for billing payers by following policies and procedures and identifying compliance issues
- Maintain quality results by following set standards for billing and collection procedures and activities.
- Perform general clerical duties as required. This role involves a considerable amount of computer work.
Claim Denial Management
- Work with Billers to make sure all information on claims is correct prior to submission.
- Audit the most complex patient claims for arithmetical accuracy, legibility, and compliance with program billing requirements.
- Understand complex reimbursement arrangements and is able to follow up with payors by working to assure that all claims are paid.
- Identify areas to improve claim submission data to reduce claim denials.
- Work to reduce Accounts Receivable by improving accuracy of claims and reducing claim denials.
Patient / Payer Statements & Collection
- Secure outstanding balance payments for care of patients by posting, adjusting, balancing, and sending regular statements.
- Collect delinquent accounts by establishing payment arrangements with patients / payors; monitoring payments; following up with patients when payment lapses occur.
- Respond to patient / payor questions about claims and resolves billing issues
- Protect the organization by keeping collection information confidential.
Minimum Job Requirements
Knowledge
- Knowledge of Health care third party reimbursement programs; such as Medicare, Medi-Cal, or private insurance.
- Knowledge of the methods, and practices of billing, accounts receivable, and collection.
- Knowledge of modern office methods and equipment.
Abilities
- Ability to prepare financial reports and maintain ledgers and journals.
- Ability to interpret billing policies and procedures for various programs.
- Ability to independently carry out varied responsible billing assignments.
- Ability to solve problems and resolve conflicts.
Other Certifications and Experience
- Requires high school diploma / equivalent
- Three years or more of full-time experience performing medical billing or medical accounts receivable functions.
- Excellent communication skills; must be able to work in a team environment
- Excellent customer service skills
Medical Billing Specialist
Seeking a detail-oriented Billing Specialist to ensure accurate billing operations at our health center in San Francisco. Responsibilities include data verification, coding, managing billing processes, and resolving issues with providers, staff, patients, and payers. Address patient billing inquirie...
Senior Billing Specialist
Billing Specialist will act as the right hand to the Billing Supervisor and perform all aspects of the firm's monthly billing process, including special billing related projects. Billing Specialist to join their team! The Sr. Billing support in all aspects of billing/collections/AR for the firm incl...
Lead Electronic Billing Specialist
Billing Managers with the coordination of day-to-day activities of Electronic Billing workflow within the Billing department. Guidance with electronic billing setups in 3E Matter Maintenance, eBillingHub, and third party electronic billing vendor websitesAssistance with resolving invoice rejections ...
Billing Specialist
They seek a Billing Specialist will work in the firm's San Francisco or Peninsula office. Create, edit, and process bills as well act as a liaison between the attorneys, billing department and clients. Review proformas, handle corrections, and e-billing coordination. Research and provide billing inf...
Billing Specialist
Manage various billing cycles and meet all billing deadlines. Communicate with the operation team to ensure billing accuracy. ...
Billing Specialist (AM Law 100 firm)
The Billing Specialist will be responsible for assisting with the billing process of the law firm. You will be assisting in the review and processing of invoices, tracking time and expenses, managing budgets, and ensuring that all billing procedures are in compliance with company policies and legal ...
Billing Specialist
Primary Objective: The Billing Specialist is responsible for entering and coding patient services into practice management system and reconciling the billing process to ensure invoices are generated and sent to the appropriate payer. We are currently looking for qualified candidates for our...
IT Business Application Specialist Billing System
Role: IT Business Application Specialist Billing System. Job Overview: Seeking an innovative and resourceful IT Business Application Specialist to support the Behavioral Health Department's billing system and associated applications. Experience with EHR, healthcare billing, or accounts payable a...
Billing Specialist I
As a Billing Specialist, you will be responsible for the maintenance of a major portion of a complex billing operation; assuring that all information on claims submitted to payors is correct. Maintain work operations for billing payers by following policies and procedures and identifying compliance ...
Billing Specialist
Actively listen to issues raised by billing professionals and offer suggestions to the Lead Billing Specialist on process changes that address the issues. Bills will need to be processed accurately and timely in accordance with billing professional instructions, client guidelines, and billing depart...