Billing Specialist

**_POSITION TITLE:_**_ BILLING SPECIALIST_**:
**_ FLSA:_**_ NON-EXEMPT_**:

- REQUIRED EDUCATION, SKILLS, AND ABILITIES:_
- High School Diploma/GED.
- Minimum of two years of experience as a Billing Specialist in a clinic or hospital environment.
- Knowledge of accounts receivable.
- Experience in dealing with the public. Good communication skills.
- Experienced in insurance, claims processing, account inquiry, billing and coding, and the reimbursement process.
- Strong knowledge of Medicaid, Medicare, County, and Private Insurance.
- Experience with eClinical Works practice management software preferred.
- Ability to communicate verbally, written, and with visual media. Able to work in harmony with other staff.
- PRINCIPAL DUTIES:_
- Process claims through data entry
- Processes Medicare, Medicaid, HCHCP, and Third-Party claims.
- Follow up and edit claims; i.e.: denials, resubmittals.
- Posting of Insurance Remittance Vouchers
- Assist and consults with patients regarding their claims
- Reviews aging of claims past ninety days
- Oversee daily billing operations and assign department tasks as needed
- Responsible for making sure remits are posted at months end
- Train all new employees on the Revenue Cycle to include insurances and eligibility; the claims process; unposted payments; and account inquiry.
- Re-training as needed; as well as staff development and updates.
- Develop and maintain current training materials.
- Align training responsibilities with competency requirements and conduct evaluations at 60 days and annually for staff that performs these duties.
- Monitor and document training within the Relias Learning Management System.
- Local travel may be required.
- Other duties as assigned.
- SUPERVISORY RESPONSIBILITIES:_
- None