Billing Specialist

Overview of the Position:

Responsible for correctly processing healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare and Medicaid.

Education and Experience:

• High School Diploma or GED required. Associates degree in related field preferred
• 1-2 years of medical billing and follow-up experience desired
• CPC and/or CPB or similar certification highly desired but not required
• eClinicalWorks experience preferred
• Proficient with Microsoft Office Suite specifically Excel, Word, and Power Point
• Advance and current working knowledge of ICD-10, CPT, and HCPCS codes
• Current knowledge of insurance payer coding and reimbursement guidelines

Required Skills / Abilities:

• Demonstrates the ability to work in a high pressure environment
• Strong active listening skills, attention to detail, and decision-making skills are required
• Pleasant, friendly attitude with the ability to adapt to change is essential
• Superior problem- solving abilities is required
• Ability to collaborate with all departments
• Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
• Possess excellent customer service skills and be well organized.
• Ability to communicate effectively utilizing both oral and written means.
• Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
• Must be comfortable taking direction from Leadership

Supervisory Responsibilities:

• No supervisory responsibilities

Essential Job Functions:

These essential job functions are required of the Billing Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Billing Specialists responsibility while working to ensure excellence in service for the internal and external customers.

• Validates the accuracy of claim information so that future billing and follow up activities are conducted effectively and to assure a high degree of customer service.
• Apply approved adjustments to accounts per departmental and company policy.
• Scrub claims for errors. Mark all appropriate corrections per departmental and payer guidelines.
• File all electronic claims and hard copy claims daily.
• Processes daily all mail and direct correspondence related to open accounts to secure