Billing Specialist

Position Information:

Hours Weekly: 40

Monday - Thursday 7:30am - 5:00pm

Friday - 8:00am - 3:00pm

Starting Salary: Determined by experience

FLSA Status: Non-exempt

Benefits:

• Health & Dental Insurance
• Life Insurance
• Long Term Disability Insurance
• 403 (b) Retirement Plan
• 12 Paid Holidays
• 21 Paid Time Off Days

Job Purpose:

We are a pediatric non-profit organization seeking a Billing Specialist to join our professional team. The Billing Specialist will manage all matters and communications relative to insurance claims on behalf of Texas Hearing Institute.

Major Responsibilities

• Stays focused on maximizing revenue and reducing contractual allowances/discounts/MWS and other (grants) write offs at all times
• Files all THI claims. Files all THI appeals, and corrected claims, as needed
• Handles all communications with Insurance/Medicaid provider relations re: underpayments and/or denials through to final resolution
• Enters and posts all service-related (program) payments into IMS software
• Regularly reviews all client accounts and keeps them clean, including notifying clients of balances due, issuing check requests for refunds due, or making necessary adjusting entries. THIS STEP INCLUDES "COMPLETING" CLAIMS IN IMS ADJUDICATION SO THAT THE CLAIMS ARE PROPERLY & TIMELY CLOSED.
• Assists Director of Finance (DOF) in Accounts Receivable (A/R) management (links between IMS software and QuickBooks (QB), including email directives to DOF with specific instructions re: clearing client accounts
• Assists DOF with awareness of insurance/Medicaid policy and/or contractual changes, and notifies management and/or program directors as changes occur

Other Responsibilities

• Acts as backup to THI Verification Specialist and Front Desk (Receptionist) in their absence and/or as needed

Education and Experience Requirements:

• High school diploma
• Must have three-plus years of claims (insurance billing) experience

Specific Skills:

• Knowledge and acquired usage of Microsoft standard programs; in particular, Microsoft Word and Excel
• Good communication skills, particularly with inter-departmental communications

Key Competencies

• Verbal and written communication skills
• Professional personal presentation
• Standard PC usage
• Office organization
• Reliability

Basic Competencies:

• Internet - using the internet for filing claims, gathering information, and communicating
• Spreadsheets knowledge and ability to create, modify, and electronically transmit
• Email and fax machine knowledge and familiarity

Tools:

• Desktop computers
• Laptop computers
• iPad
• Scanner
• Fax machine
• Copy Machine
• Postage Meter

Technology:

• Internet
• Microsoft Word and Excel
• IMS (program software) - onsite training

Physical Demands:

Stand; walk; sit; hear; speak clearly; job requires extensive computer use so employee must have sufficient hand dexterity to use a computer keyboard and be capable of using a computer screen; bend over; reach with hands and arms; able to lift or move up to 20 pounds. Flu vaccination and COVID-19 vaccination required.