Billing Specialist

Job Description

Job Description

Position Title : Billing Specialist

Department : Operations >

Business Office

Reports to : Lead Billing Specialist

EEO Code : Administrative Support Workers

SOC Code : 43-3021 Billing and Posting Clerks

FLSA Status : Non-Exempt

Last Revision Date : September 21, 2020

Position Summary The Billing Specialist is responsible for collecting, posting, and managing patient account payments. Responsible for submitting patient claims to insurance companies and following up on the claims with insurance companies.Essential Duties and Responsibilities

• Prepare and submit claims to insurance providers.
• Review and verify patient information and service codes for accuracy.
• Address and resolve any billing discrepancies or inquiries from patients and insurance companies.
• Maintain up-to-date knowledge of insurance policies and regulations.
• Collaborate with clinical staff to ensure proper documentation for billing purposes.

Required Skills and Abilities

Ability to operate a computer, computer software, and basic office equipment

Knowledge of medical billing / collection practice

Understanding a variety of different Explanation of Benefits

Ability to work and thrive in pressure situations

Basic math, bookkeeping and accounting skills

Ability to work independently and to produce prompt, accurate reports.

Exceptional time management

Aptitude to be cross trained and learn other business office positions

Ability to learn required software applications

Education and Experience

Previous medical billing experience in hospital or other health care setting

Experience working with medical payers

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

Prolonged use hands / fingers

Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus

Prolonged periods sitting at a desk and working on a computer

Noise level in the work environment is usually low to moderate

Must be able to lift up to 15 pounds at times.

Note

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.

Reviewed with employee by

Signature : ____________________________________________

Name (print) : __________________________________________

Date : _____________________

The company is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.