Job Description
Job Description
Responsibilities as a Billing Specialist :
- Understand billing rules and utilizing payer contracts to bill for multiple facilities
- Research outstanding claims with third party payors.
- Review claim issues and make corrections as needed to rebill
- Generate monthly patient statements
- Assist with denials, billing projects, and any rebilling required according to the policies and procedures
- Work with front office staff and insurance team in insuring accuracy of patient information
- Work with medical / therapy staff to ensure coding and documentation are accurate
- Generate monthly patient statements
- Handle communication with third party payors or patients
- Understand and be able to communicate insurance eligibility
- Report all irregularities to Billing Manager and work with Billing Manager on all concerns including aged accounts receivables
- Cross train in functions related to cash collection, applications, and patient accounts
Qualifications :
- High school graduate, GED or equivalent.
- Experience with data entry
- General knowledge of billing and accounting practices with 1 to 2 years medical billing experience (preferred)
- Experience with electronic medical records
- Strong knowledge of MS office / excel
- Knowledge of CPT, ICD10-CM, and HCPCS codes (preferred)
- Detail oriented and able to be accurate with little supervision
- Ability to work in team setting
- Good verbal and written communication
- Able to work with diverse populations
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