Billing Specialist
Description:
The Billing Specialist is responsible for prevention, tracking, and follow up of denied and/or unpaid claims. The Billing Specialist reviews claims to ensure maximum reimbursement, researches payments with missing remit information or misapplied payments, and follows up with insurance carriers and patients as needed. This position maintains consistent productivity and quality of work in a challenging, fast paced environment.
This is NOT a remote position.
ESSENTIAL FUNCTIONS:
Timely follow up on claim denials, exceptions or exclusions.
Contacting insurance companies to determine reasons claims are unpaid.
Identifying denial trends to help create strategies to prevent denials wherever possible.
File appeals as needed to resolve payer denials and work with payers and monitor appeals in process. Properly track and document all denial and appeal activity.
Research of payments with missing remit information or misapplied payments.
Ensure that accounts receivable is kept current according to organizational benchmarks.
Adheres to all HIPAA guidelines/regulations.
Other duties as assigned.
QUALIFICATIONS:
Strong written and oral communication skills.
Knowledge of computer systems and programs.
Excellent customer service skills.
Knowledge of medical terminology and human anatomy.
1 year experience in medical coding or billing, including experience with denials, CPT and ICD-10, preferred.
EDUCATION:
High school graduate or equivalent.
BENEFITS:
Medical Insurance
Dental Insurance
Vision Insurance
Basic Life & ADD Insurance
Long Term Disability Insurance
Voluntary Short Term Disability Insurance
Voluntary Life & ADD Insurance
Health Savings Account
Employee Assistance Program
Voluntary AFLAC Options
Employee Discount
401k Employer Match after 1 year
401k Profit Sharing after 1 year
PTO (.0615 per hour paid)
7 paid holidays
Related Jobs: Medical Billing Specialist, Medical Biller, Certified Professional Coder
Hiring Range: Billing Specialist - $19.50 - $30.98