ECI Billing Specialist

Medical Billing Specialist

Performs a variety of complex clerical and accounting functions for patient billing, including maintenance of third party billing records and resolution of a variety of insurance issues. Follows up on submitted claims and patient billing; resubmits claims or resolves problems. Works with others in a team environment.

Primary responsibilities include :

• Assisting in obtaining pre-authorization from insurance carriers, when necessary. Compiling and submitting all required documentation to the insurance.
• Processing billings to patients and third party reimbursement claims; maintaining supporting documentation files and current patient addresses.
• Processing patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
• Researching and responding in person, by telephone, or in writing to patient inquiries regarding billing issues and problems.
• Working with staff to ensure that correct diagnosis / procedures are reported third party insurance carriers.
• Following up on submitted claims; monitoring unpaid claims, initiating tracers; resubmits claims as necessary.
• Posting and reconciling payments to patient ledgers.
• Balancing daily batches and reports, preparing income reports and statistics; distributing reports as requested.
• Following and reporting status of delinquent accounts.
• Reviewing accounts receivables and making recommendations to supervisor regarding collection.
• Maintaining patient demographic information and data collection systems.
• Maintaining billing / filing records in accordance with established protocol.
• Performing a variety of general clerical duties and other routine functions.
• Ensuring strict confidentiality of financial records.

Work experience :

Education / certifications / licensure :

Skills :

Physical requirements :

If a preliminary offer of employment is extended, a physical will be required before the offer can be accepted. Light to medium physical duties include standing, walking, reaching, bending, hearing, and talking for up to eight(8) hours a day. Must have good vision; with or without corrective lenses. Must be able to lift twenty (20) pounds. Lifting will be primarily confined to occasional on-premises lifting of boxes of office supplies and minor office equipment.