Billing Operations Specialist: MedRisk

Job Description

Job Summary

The Billing Operations Specialist is responsible for overseeing and managing the organization’s billing processes to ensure accuracy and timeliness. This role involves resolving billing discrepancies, handling customer inquiries, and monitoring billing systems and procedures. The specialist collaborates with cross-functional teams to streamline operations and improve efficiency. Additionally, they analyze billing data to identify trends and recommend enhancements that maximize revenue collection. Success in this position requires strong attention to detail, analytical skills, and a solid understanding of billing systems and procedures. Excellent communication and collaboration skills are also essential for effective teamwork.

Primary Duties & Responsibilities

Perform complex billing, claim processing, and reimbursement type job functions

Consistently meet production standards for assigned tasks

Ensure department SLA and TAT are met

Report regularly to management on patterns observed

Propose solutions and enhancements to areas of opportunity

Communicate effectively with vendors or client to optimize bill acceptance and collections

Maintain strong working knowledge of various Revenue Operations workflows for regular assistance of other department tasks

Ensure confidentiality of all patient accounts by following HIPAA guidelines

Performs other duties as assigned

Qualifications

College degree required

Strong analytical skills

Ability to triage and multitask

Solid written and verbal communication skills

Organizational and time management skills

Proficiency with MS Office Products, advanced Excel knowledge required

Medical billing experience preferred

Basic understanding of HIPAA policies and procedures

Full-time