Billing Specialist

2 weeks ago

Loveland, United States Tender Care Pediatric Services Inc Full time
Job DescriptionJob DescriptionDescription:

BILLING SPECIALIST

General: Works to ensure all billing processes are being completed on time accurately and to company standards.

Responsible To: Billing Manager or Designee

Responsibilities and Duties:

  • Performs manual or electronic submission of claims in a timely and accurate manner.
  • Follows up on outstanding claims to ensure accurate processing. Submits additional information and/or resubmits claims as needed.
  • Maintains accurate and complete records concerning all billing activity.
  • Ensures compliance with laws, regulations, and insurance rules prior to claim submission. Confirms all necessary documentation has been obtained and is complete; works effectively with team members to secure needed items.
  • Responsible for posting remits from insurance companies, patient pay or other sources.
  • Track’s denials and billing errors and provides reports to management as requested/needed.
  • Maintains familiarity with the rules and regulations of Health First Colorado and other insurance companies.
  • Responsible for updating demographic information with insurance payors as needed.
  • Assumes other duties within scope of training as assigned.
  • Promotes teamwork among co-workers, including assisting fellow office workers, as needed.
  • Communicates problems and concerns with supervisor that may lead to inaccurate or untimely completion of reimbursement processing and/or client dissatisfaction.
  • Demonstrates timeliness, courtesy, sincerity and patience when dealing with clients, team members, and all other organizations.
  • Markets the company in a positive and professional manner at all times.
  • Reflects the core values of Tender Care Medical Supply: Service, Integrity, Teamwork, Balance, Compassion, Ownership, and Fun.
Requirements:

Environmental Working Conditions and Physical Requirements:

  • Must possess the ability to work in and move about in a standard office setting and to use standard office equipment, including a computer.
  • Sitting in a seated position for extended periods.
  • Strength to lift and carry objects weighing up to 20 pounds.
  • Visual ability to read materials in either a printed format or on a computer screen.
  • Stamina to maintain attention to detail despite frequent interruptions.

Education:

  • Graduate from an accredited high school or GED equivalency.

Qualifications:

  • Good organizational skills
  • Willing to function as a cooperative team member
  • Responsible and mature attitude
  • Excellent communication and client relations skills
  • Detail oriented

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