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Form of workJob Description
Date: August 10, 2020
Position:Billing Specialist
Department: Billing
Reports To: Revenue Cycle Coordinator
Position Summary:
Our company has an immediate need for an experienced Billing specialist who is familiar with the insurance and revenue cycle process. The ideal candidate will undertake a variety of financial and non-financial tasks in order to help guarantee the company's revenues.
Main Tasks and Job Responsibilities:
- Primary Responsibilities
- Ensure that all insurance information is accurately obtained and up to date in the practice management system, resolve all discrepancies as needed.
- Verify patient eligibility and benefits coverage by utilizing practice management system, carrier websites, or by direct contact with carrier.
- Obtain and review referrals, when applicable.
- Determine and inform patients of estimated financial responsibility for services to be rendered.
- Review daily charges, submit and process medical claims to insurance companies.
- Post and review insurance electronic remittance advices received via clearinghouse or paper checks received by mail.
- Process patient overpayments as a result of insurance processing, send all other overpayments to Revenue Cycle Coordinator to process.
- Follow up on insurance claims, including but not limited to denials, payment discrepancies' and request for more information.
- Secondary Responsibilities
- Answer calls from patients, staff and physicians regarding billing related inquiries.
- Complete letters of medical necessity request
- Obtain prior authorization for procedures, when needed
- Performs other duties necessary or required by management
- Administrative Responsibilities
- Ensure proper compliance with all patient information
- Train on HIPAA annually
- Review and respond to emails, checking at a minimum three times daily
Performance Requirements:
- Proficient computer skills
- Excellent written and verbal communication skills
- Strong organizational and follow up skills
- High level of attention to detail, problem solving and analytic skills
- Ability to multitask and manage time effectively
- Ability to function both independently and on a team in a fast-paced environment.
Education:
- High school diploma/GED required.
- Minimum of two years of experience in medical office; in patient relations and/or billing preferred
- Knowledge and experience with practice management systems; Nextech preferred
- Knowledge of insurance and revenue cycle
- Knowledge of current ICD-10 and CPT coding system; Dermatology preferred
- Coding Certification; Dermatology preferred.
- Continued education to stay abreast of billing/insurance trends
