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Billing Specialist
3 months ago
GENERAL SUMMARY OF DUTIES: Gathers information about patient accounts and corrects or forwards information to insurance companies on a regular basis. Following-up on specified accounts and makes sure the final follow-up is complete. Gathers charge information, codes, enters in a database, completes billing process, and distributes billing information accordingly.
DUTIES PERFORMED:
- Constantly assists with patient questions and payments.
- Constantly perform keying and posting charges.
- Frequently submits billing data to the appropriate insurance providers
- Frequently resolves denial instances
- Frequently achieves maximum reimbursement for services provided
- Occasionally post payments when needed, accurately and in a timely manner.
- Constantly enters patient information into the system accurately.
- Occasionally works through the refunding process for insurance and patient accounts.
- Occasionally assist on other projects.
- Conduct duties in a professional and timely fashion
- Performs other duties as assigned.
PERFORMANCE REQUIREMENTS:
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge of coding and clinic operating policies as well as knowledge of working with insurance vendors.
- Ability to examine documents for accuracy and completeness.
- Ability to prepare records in accordance with detailed instructions.
- Ability to work effectively with patients.
- Ability to communicate clearly and maintain confidentially.
- Ability to understand and effectively work in Microsoft Office, including Microsoft Excel, practice management systems, and electronic medical record system.
- Ability to organize, prioritize, and manage multiple priorities.
- Ability to work independently with minimal supervision.
- Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization.
- Ability to use creative problem-solving skills
EDUCATION AND EXPERIENCE:
- High school or GED
- Minimum of two years with all aspects of medical billing (i.e., CPT, ICD-10, charge entry, payment entry and A/R follow-up)
- Extensive knowledge of medical insurance and coding (i.e., CPT, ICD-10, Medical Terminology, and Medicare Guidelines)