Billing Specialist

Gaspy Infusion Services, Inc. is seeking a Billing & Collections Specialist.

Billing specialist will also assist with intake duties such as benefits verification, eligibility, authorizations, collecting copays, data entry etc. Billing specialist will also be responsible for duties assigned by the director.

The Billing Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Billing Specialist will proactively work assigned accounts to maximize accurate and timely payment.

Essential Duties And Responsibilities

• Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes and other departmental goals as outlined.

• Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing practices. Manage the Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines.

• Process confirmed tickets in "unworked" status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims.

• Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution. Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions. Participate in branch Ready to Bill conference calls.

• Identify patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets. Review delivery tickets for accuracy and complete claims per payer-specific guidelines.

• Submit secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed.

• Research websites of assigned payers to bill for payer updates and shares updates accordingly.

• Makes routine collection calls on outstanding claims

• Identifies billing errors, short payments, unpaid claims and resolves accordingly

• Researches refund requests received by payers and prepares refund according to findings

• Identifies issues/trends and escalates to Manager when assistance is needed

• Provides exceptional Customer Service to internal and external customers

• Ensures compliance with federal, state, and local governments, third party contracts, and company policies

• Must be able to communicate well with direct reports, patients and insurance carriers Qualification Requirements

• Knowledge of HCPC coding and medical terminology

• Excellent math and writing skills

• Excellent interpersonal, communication and organizational skills required

• Ability to prioritize, problem solve and multitask are required

• CPR+ or Caretend systems experience preferred

• Word, Excel and Outlook experience required

• High School Diploma or GED required, some college a plus

• Three years or more of strong collections experience

• A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus

Job Type: Full-time

Pay: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Hybrid work

Work Location: Hybrid remote in Stafford, TX 77477