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Billing Specialist





Job Description: Billing Specialist 

Reports to: Senior Revenue Cycle Manager

Job Purpose:

We are a pediatric
non-profit organization seeking a billing specialist to join our professional team.
The billing specialist will manage all matters and communications relative to
insurance claims on behalf of Texas Hearing Institute.

Position Information:

Hours Weekly: 40

Monday – Friday: 8:00 am – 5:00 pm

Starting Salary: Determined by experience.

FLSA Status: Non-exempt

Benefits:

  • Health & Dental Insurance
  • Life Insurance
  • Long Term Disability Insurance
  • 403 (b) Retirement Plan
  • 12 Paid Holidays
  • 21 Paid Time Off Days  

Major Responsibilities

  • Stays focused on maximizing revenue and reducing contractual
    allowances/discounts/MWS and other (grants) write offs at all times
  • Files all THI claims. 
    Files all THI appeals, and corrected claims, as needed
  • Handles all communications with Insurance/Medicaid provider
    relations re: underpayments and/or denials through to final resolution
  • Enters and posts all service-related (program) payments into
    IMS software
  • Regularly reviews all client accounts and keeps them clean,
    including notifying clients of balances due, issuing check requests for
    refunds due, or making necessary adjusting entries.
  • Assists Senior Revenue Cycle Manager in Accounts Receivable (A/R)
  • Assists Senior Revenue Cycle Manager with awareness of
    insurance/Medicaid policy and/or contractual changes, and notifies
    management and/or program directors as changes occur
  • Prepare
    and process insurance claims timely and accurately to government,
    commercial and managed care payers.
  • Review
    and distribute corrected claims
  • Resolve
    claim edits via claim edit work queues and/or our external billing
    software

Other Responsibilities

  • Acts as backup to THI Verification Specialist and Front Desk
    (Receptionist) in their absence and/or as needed

Customer Service Standards

· Support co-workers and engage in positive
interactions.

· Communicate professionally and timely with
internal and external customers

· Demonstrate friendliness by smiling and making
eye contact when greeting all customers.

· Provide helpful assistance in anticipating and
responding to the needs of our customers.

· Collaborate with customers in planning and
decision making to result in optimal solutions.

· Ability to stay calm under pressure and deal
effectively with difficult people

 

Education and Experience Requirements:

  • High school diploma
  • Must have three-plus years of claims (insurance billing)
    experience

 

Specific Skills:

·
Knowledge and acquired
usage of Microsoft standard programs; in particular, Microsoft Word and Excel

·
Good communication skills,
particularly with inter-departmental communications

Key Competencies

·
Verbal and written communication
skills

·
Professional personal
presentation   

·
Standard PC usage

·
Office organization

·
Reliability

Basic Competencies:

·
Internet
- using the internet for filing claims, gathering information, and
communicating

·
Spreadsheets
– knowledge and ability to create, modify, and electronically transmit

·
Email
and fax machine knowledge and familiarity

Tools:

·
Desktop
computers

·
Laptop
computers

·
iPad

·
Scanner

·
Fax
machine

·
Copy
Machine

·
Postage
Meter

Technology:

  • Internet
  • Microsoft
    Word and Excel
  • IMS
    (program software) – onsite training

Please visit our careers page to see more job opportunities