Billing Specialist

18 hours ago


Clearwater, United States High5 Full time
Billing Review Specialist

High5 is seeking a highly skilled Billing Review Specialist to join our team. As a key member of our Centralized Billing Review team, you will be responsible for ensuring that all assigned reviews and company projects are completed timely and accurately according to the scope of work.

Key Responsibilities:

  • Assure timely and accurate completion of assigned reviews and company projects.
  • Report any issues or concerns to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.
  • Contact payors to discuss policy criteria or ask clarifying questions on accounts.
  • Understand payor requirements according to their policies.
  • Ensure completion of all forms and collect complete billing information.
  • Pursue, maintain, and communicate medical coverage/guideline changes/updates.
  • Verify insurance benefits and eligibility for patients.
  • Communicate with patients to resolve billing issues and ensure timely payment.
  • Maintain accurate and up-to-date patient records in compliance with HIPAA regulations.
  • Work assigned reports accurately and timely.
  • Help facilitate interoffice communication on payor updates and trends.
  • Complete any adjustments/transfers of AR as required.
  • Document all activity in customer's computer account or applicable applications.
  • Answer billing review specialist questions accordingly.
  • Report issues and/or concerns in a timely manner.
  • Available to assist other billing review specialists on the team with questions or needs.
  • Act as liaison between staff and management.

Requirements:

  • High School Diploma or General Education Degree (GED) Required
  • Past performance shows solid evidence of insurance qualifications and guidelines.
  • Knowledge of telephone etiquette and adequate oral and written communication skills.
  • Shows effective multitasking skills.
  • Positive and cooperative attitude in working and communicating with individuals at all levels of the organization.
  • Knowledge of medical field preferred.

About High5:

High5 is a dynamic and growing company that values its employees and provides a supportive work environment. We are committed to excellence and strive to deliver high-quality services to our clients.


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