Billing Specialist

Full Time - Onsite
Schedule: M-F 8:30am - 5:00pm
Job Responsibilities: 

• Acts as a liaison between the facility and payment parties.
• If claims are denied by the third-party payer, the medical Billing Specialist must investigate the claim verify its information and update the database.
• Ensure medical records needed for billing purposes are in client’s charts and/or submitted
• Handle P2P accounts
• Payment trend analysis
• Conduct VOB’s
• Meets agency and billing compliance standards
• Review and work EOB items that need follow up (patient or insurance carrier level)
• Review COB needs and work with patients to resolve
• Handle account balance inquiries
• Call insurance carriers to have claims reprocessed in accordance with contracts and plan benefits
• Protects Facility value by keeping collection information confidential
• Update job knowledge by participating in continuing education opportunities
• Review billing reports identify areas that need attention
• Provide supervisor with follow up from billing reports
• Track all tasks on spreadsheet or other assigned methods
• Complete Credentialing documentation assigned
• Complete EFT/ERA Enrollments and Enrollment Forms
• Bi-weekly supervision

Requirements:
 High School Diploma or equivalent
1-2 years of experience as a Medical Billing Specialist
Strong understanding of denials and claims, specifically using the UB-04 form