Billing Specialist

Responsibilities:  Identify and work to resolve outstanding accounts receivable balances in a timely manner by contacting various insurance companies and responsible parties. Review insurance denials and correct claims accordingly.  Bill out claims to insurance companies and conduct necessary follow up.  Run and review aged receivable reports for various insurance companies and self-pay accounts, follow up on outstanding claims, answer inquiries regarding patient statements, assist the other billing specialists, identify and report billing issues/concerns within the software product.  Additional responsibilities as assigned by the department manager. 

WORK SCHEDULE37.5 hours/week, M-F 8:30-4:30, with ½ hour unpaid lunch (flexible)

QUALIFICATIONS:

A.  Education/Training/License/Certification:

An Associate Degree is preferred in related field, and at least one year of related experience and/ or training; or equivalent combination or education and experience; Certified Professional Biller (CPB) designation preferred but not required. 

B.  Knowledge, Skills and Abilities: Solid knowledge of billing requirements for Medical Assistance, Managed Care, and commercial insurers, billing processes and procedures, electronic billing systems, excellent communication skills, both verbal and written, medical/behavioral health collection experience.  CPT-4 and ICD-10 knowledge is necessary along with an understanding of revenue codes/837i form.