Billing Process Support Specialist

Job Details

Description

Essential Duties and Responsibilities :

Responsibilities include but are not limited to the following :

Billing Process Support : Support on a variety of functions that take place within the entire billing cycle, from invoice generation to payment processing.

Implement process improvements to enhance efficiency and accuracy.Month end payment posting support.Provide timely and effective support to internal customers regarding billing inquiries and issues.

Database Management and Programs : Perform accurate data entry and maintenance for billing records.Register new customer accounts in the billing system.

High level of proficiency in Microsoft office products (Excel, PowerPoint, Word, Access, Visio, etc.)

• Billing Quality Control : Manage billing quality control processes to ensure accuracy and compliance.Conduct audits of billing data to identify and resolve discrepancies.
• Insurance and Medicare Billing : Process commercial insurance claims and follow up on claim delays and denials.Provide support for Medicare billing tasks.
• Customer Support : Explain billing statements, resolve discrepancies, and process adjustments as needed.Build strong relationships with internal and external customers through excellent communication and problem-solving skills.

Craft fast and accurate responses to online customer reviews and questions.

Process Improvement and Training : Write and maintain Standard Operating Procedures (SOPs) for billing processes.Develop and deliver training presentations on billing topics.

Collaborate with IT to create and validate new technical features.Participates in operational excellence projects to improve our processes.

Issue Resolution : Collaborate with internal and external customers to resolve complex billing issues.Facilitates virtual and in-person meetings for billing related topics.

Qualifications :

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Candidates must be a self-starter, and have the following skills and attributes : strong written and verbal communication skills;
• ability to excel in effective and positive communications; experience in analyzing and compiling spreadsheet data; high level of commitment;
• strong desire for professionalism, quality, and achievement; strong customer service and telephone skills; strong interpersonal skills;
• able to demonstrate tact and diplomacy in daily interactions; detail oriented type of individual with good organization skills;
• strong analytical skills for problem solving; process oriented problem solver; ability to successfully manage multiple tasks and projects without excessive guidance;

ethical and mature in nature and personality; and a positive attitude. Strong knowledge of healthcare billing processes and insurance billing practices and programs is preferred.

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.

Supervisory Responsibilities :

This job has no direct supervisory responsibilities but works closely with many departments and will manage projects and facilitate meetings as needed.

Education and / or Experience :

This position requires an Associate’s Degree or professional experience sufficient to allow waiver. Candidates must have 3 years experience in healthcare billing and reimbursement, training, customer relations, or other professional experience sufficient to waiver.

Some leadership or project management experience preferred.

Computer Skills :

To perform this job successfully candidates should have strong computer aptitude, including all standard Microsoft Office products, especially Word and Excel.

Previous experience in data analytics preferred.

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