Billing Specialist

Billing Specialist

Requirements

• High school diploma or equivalent G.E.D. certificate
• Must be computer literate and have the ability to create and understand spreadsheets, utilize word processing, and learn clinical software systems
• Must be able to type quickly and accurately
• Knowledge or have the ability to obtain basic knowledge of medical billing/coding/third party operating procedures and practices
• Must be well organized and detail oriented
• Must have the ability to establish and maintain effective working relationships with patients, employees and the public
• Must adhere to rules and laws pertaining to client confidentiality
• Must possess, or have the ability to possess functional knowledge of business English and medical terminology
• Must have good spelling and basic mathematical skills
• Must have knowledge of basic bookkeeping skills for balancing accounts
• Must have the ability to learn assigned tasks readily and to adhere to general office procedures
• Time management skills are essential
• Must have in depth knowledge of standard office equipment
• Must be able to communicate effectively in both written and oral formats
• Must have the ability to present and exchange information internally across teams and co-workers, and externally with customers and the public
• Must have the ability to read, understand and follow oral and written instructions

Responsibilities

• Prepare and review patient statements
• Review delinquent accounts and perform communication for collection purposes
• Submit claims to insurance companies
• Ensure proper coding of services, data entry of services, and perform claims follow up
• Perform word processing to prepare all office forms with reasonable speed and accuracy
• Administer forms for urinalysis testing (UA’s), provide accurate information on the UA’s to clients, in some cases observes the UA, and record all pertinent information
• Handle multiple phone lines with voice mail system on a daily basis. Route calls to appropriate clinician
• Deal effectively and in a friendly manner with all patrons and employees in person and by phone, and direct calls and individuals to proper sources; answer inquiries and provide correct general program information to the public and clients; communicate with community agencies effectively, provide information, referrals, etc.
• Order supplies when requested by the Billing Supervisor
• Schedule clients for appointments, assist in the completion of intake paperwork when necessary, obtain completed intake paperwork, communicate with and collect fees from clients, explain fees to clients, obtain insurance information for billing purposes, enter data into computer system database
• Maintain agency and clinical forms files and supply of new client files. Copy client files as needed. Maintain clinician schedules via use of computer scheduling. Ensure entry into billing system of contracted or non-clinical services
• Inventory office supplies and notify appropriate staff when items need to be re-ordered. Receive freight. Mail correspondence, and pick up and distribute mail
• File documents in client files. Purge files when statute of limitations has expired
• Interpret client accounts and explain this information to client. Identifies and resolves patient billing problems
• Collects, posts and manages patient account payments and prepares deposits and other administrative reports
• Perform and participate in agency financial controls as directed
• Record changes of information for client records. Complete authorizations to share and exchange information
• Maintain office equipment, ensuring that equipment is in working order. Assist staff in troubleshooting problems
• Submit reports to the state, GOBHI and other agencies as required
• Gather and distribute information as requested by the Billing Supervisor or Office Support Supervisor (i.e. timesheets, purchase requests, service tickets, and other office forms)
• Responsible for opening the front office for business and closing the front office to assure the security of confidential information
• Acts as a back up for other Office Support or Billing Specialists as needed
• Other duties as assigned

Preferred Qualifications

No preferred qualifications provided.