Billing Specialist

Description:

· Submit approved claims for submission and ensure proper acceptance (as assigned)

· Denial Resolution: researching, resolving, and resubmitting denied claims; taking timely and routine action to collect unpaid claims; and interpreting various forms of explanations of benefits (EOBs) from insurance carriers

· Work with team/office in identifying, researching, and resolving issues which may lead to inaccurate or untimely filing of claims, claim rejections, and/or other billing and collections issues which may arise

· Assist management/education team in providing training, assistance, and/or guidance to other staff members in issues of accounts resolution through billing, collections, and/or denial processing techniques

· Compile and re-submit claims to insurance companies based on data provided by the office and/or clinical staff

· Review first initial claim scrub and billing to the clearinghouse utilizing billing and EMR software

· Validate claims and make necessary corrections to send out clean claims to the payers electronically and/or via paper

· Employ effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits, or denials

· Resolve disputed balances in our billing and EMR software

· Work with management and other revenue cycle staff to improve processes to increase accuracy and efficiency

· Send appeals as necessary.

· Investigate all claims on AR reports for assigned office location(s)

· Responsible for the successful collection of all revenue for assigned office location(s)

· Monthly variance review of assigned location(s)

· Assist all callers as necessary in a professional manner, transfer call when appropriate and promote excellent customer service

· Correspond with Supervisor regarding compliance, billing issues, and AR trends that arise during daily work

· Interact with all RCM teams in organizing, and implementing processes and activities

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.