Billing Specialist

This position is primarily responsible for billing and other responsibilities associated with Medicaid, Private Insurances and self-pay participants. This position reports directly to the Billing Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Core duties and responsibilities include the following. Other duties may be assigned.

· Creates and issues bills for services rendered.

· Reconciles billing with rendered services.

· Tracks payments.

· Reconciles billing issues.

· Manages status of accounts and balances, identifies inconsistencies.

· Collects and records billing data.

· Prepares thorough reports on billing activity with clear, reliable data.

· Follows up on outstanding payments due.

· Continuously updates accounts receivable.

· Verifies all entries made by clinical staff and makes corrections if necessary.

· Verifies all participants have active applicable insurances. Verifies eligibility for Medicaid and private insurances.

· Rebills insurance companies or other third parties to secure payments.

· Responds to participant billing and statement inquiries.

· Assesses payment for self pays and collects supporting documentation.

· Establishes payment plans to assist participants with hardships.

· Contacts participants regarding outstanding balances.

· Maintains communication with insurance companies.

· Ensures compliance with insurance companies.

· Identifies and resolves problems in a timely manner.

· Gathers and analyzes information skillfully.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION AND/OR EXPERIENCE:

· Associates Degree (preferred) with 2 years billing experience, or;

· HS Diploma or equivalent with 5 years billing experience.

· Proven experience as Billing Specialist

· Adherence to laws and best practices in regards to dealing with customers and data

· Comfortable dealing with numbers and the processing of financial information

· Excellent knowledge of MS Office (particularly Excel) and ER software (JDE or other)

· Results-driven and patient

· High degree of attention to detail and trustworthiness

· Knowledge of billing software, (Preferably EPACES, ECR 10e11, Insync Qualifact)

Job Type: Part-time

Expected hours: 21 per week