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Billing Specialist
3 months ago
JOB TITLE: Billing Specialist
DEPARTMENT: Billing
SUPERVISED BY: Billing Supervisor
STATUS: Full-Time
EXEMPTION:
SUMMARY:
JOB RESPONSIBILITIES:
- Researches all information needed to complete billing process including obtaining charge information from physicians
- Codes & corrects information regarding procedures performed along with diagnoses
- Reviews and/or keys charge information into online entry program and follows billing procedures
- Works with other staff to follow-up on accounts
- Assists with coding and error resolution
- Contacting payers on denials and correcting claims for resubmission and payment
- Assists with answering the telephone, taking and relaying messages
- Maintains required billing records, reports and files
- Understands and observes organization policies regarding HIPAA confidentiality and security of information
- Other duties may be assigned including special projects and provider enrollment tasks if needed
- Retrieve online remittance advices
- Posts all payments to patient accounts accordingly and in a timely manner
- Assist front office with billing and account inquiring including but not limited to voiding payments posted in error and patient account inquiries
- Maintains information on encounters not received by providers and communicates this information with those providers
- Serves as a resource when needed, including assisting in co-worker training and orientations
- Observes clinic policies and procedures
- Participates in educational experiences designed to maintain competence
- Annually completes all required in-services and training as appropriate to the job
MISSION AND CUSTOMER SERVICE:
- Demonstrate the Mission and acts in ways that advance the best interest of the customers entrusted to our care. Positively represents SWLA Center for Health Services (SWLA) in the workplace and the community.
- Present a professional image: apparel and appearance are appropriate according to SWLA department dress code.
- Demonstrate effective communication and listens attentively to customer and promptly acts upon requests with consideration for patient privacy. Keep customer informed about their care and treatment in a comfortable atmosphere.
- Respect the gifts and talents (the diversity that co-workers bring to their jobs) or each other. Demonstrates effective communication and assists co-workers as necessary.
- Respect the privacy and confidentiality of the customers we serve, our physicians, co-workers and the community. Demonstrates good elevator manners.
- Practices safe work habits and maintain a safe environment for self, co-workers, patients, and visitors.
- Work collaboratively to solve problems, improve processes, and develop services. Acts as an advocate for our customers.
- Complies with organization/department policies and procedures, including but not limited to confidentiality, safety, cooperation/flexibility and attendance.
- Understands and complies with applicable federal/state laws and Standards of Conduct as related to assigned job duties.
- Participates in departmental or organizational quality. Continuous performance improvement activity.
EDUCATION, TRAINING AND EXPERIENCE:
- High school graduate and at least one year experience in the medical field
- Minimum one year experience in third party billing, ICD-10 and CPT coding.
- Ability to counsel patients using an effective, courteous and professional attitude under pressure.
- Ability to effectively communicate with others
- Efficiency in office equipment
- Must successfully complete a pre-employment physical examination and drug screen.