Billing Specialist

3 weeks ago


Ashland, Ohio, United States Lutheran Social Service Full time
Billing Coordinator Job Description

At Lutheran Social Service, we are seeking a skilled Billing Coordinator to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and claims submission.

Key Responsibilities:

  • Capture charges from the Electronic Health Record (EHR) and other billing systems for services provided on a regular basis.
  • Verify that the Therapy Verification form has correct payers.
  • Submit claims for payment to Medicaid, Medicare, Managed Care Organizations (MCO), and other payer sources.
  • Follow up with payer sources to resolve unpaid claims.
  • Report on billing activities each month, including charges, payments, and aging, claims denied, and other related data as needed.
  • Coordinate collection efforts internally with the Business Office Manager (BOM).
  • Provide guidance for staff members regarding coding and billing within the scope of services for the provider.
  • Coordinate with residents/resident representatives to ensure accurate and verifiable billing information.
  • Identify responsible parties by examining patient records.
  • Work cooperatively with other departments to share demographic and insurance information.
  • Resolve billing issues by discussing contracts with third-party payers and explaining insurance contracts with patients.

Requirements:

  • High School Diploma and equivalent work experience required.
  • Previous long-term care healthcare billing experience preferred.
  • Point Click Care experience preferred.

Preferred Skills:

  • Knowledge of healthcare billing systems, claims software, EHRs, and Microsoft Office package.
  • Data processing, reporting, and analysis related to billing and accounts receivable.
  • Decision-making abilities.
  • Problem-solving abilities.
  • Ability to reason.
  • Ability to communicate both verbally and in writing with a wide range of people.
  • Detail-oriented.
  • Ability to maintain confidentiality.

Working Conditions:

Normal office working conditions with the absence of disagreeable elements.


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