Billing Specialist

Responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position requires an expert in determining the optimal combination off re-billing, collecting, and required payments follow up activities. This position provides pertinent and timely education to medical practice office staff to assure accurate claims submission. This position interprets all contracts and determines the correct and timely payment and ensures the workflow of the billing department runs smoothly.

• Prepare and submit insurance claims for medical services provided.
• Confirm patient insurance details, including eligibility and coverage.
• Handle payments from patients, insurance companies, and other payers, and apply adjustments when necessary.
• Investigate denied or underpaid claims by communicating with insurance companies to resolve issues.

• High School Diploma or Equivalent
• Computer skills in Microsoft with emphasis in Excel
• Associates Degree in Business Administration or Coding Certification or two years related Health-Care Billing experience
• Knowledge of third party payer and coding guidelines
• Ability to understand insurance terms, medical terminology, medical records, coding, and hospital bills