Salary: $0.00 to $1.00 /hour
The Billing Specialist is a member of the accounting team whose primary responsibilities include the daily input of changes and payments into the practice management system and the daily processing of insurance and other third party payer claims. The Billing Specialist works collaboratively with other members of the accounting department to ensure timely and accurate submission of patient remittance claims.
v Manual Charge Entry: Input data from paper encounter forms such as, hospital, nursing home, home health, labs, and body boxes. Charge entry will also be used for correcting claims that contained errors, that denied, or that rejected.
v Electronic Charge Entry (Super Bills): Review CPT Codes, ICD-9 Codes, Patient information, insurance information, charge information, billing/examining provider information for accuracy.
v Manual Payment Posting: Input data from insurance remittance advices and patient payment batches into practice management system.
v Electronic Payment Posting: Review and post batches from Electronic Remittance Advices (ERA).
v Claims Submission: Processes electronic claims (and paper claims when applicable) to third party payers on a daily basis.
v Claims Correction: Review and correct all claims that have been denied or rejected on a weekly basis.
v Assists other members of the organization as required or assigned.
v Performs other necessary duties as required by the health center to meet the goal of providing primary health care services.
v Work A/R report bi-monthly
v High school diploma or equivalent required.
v Some College preferred.
v Three (3) years of more experience in a medical office working with insurance claims processing involving CPT, HCPCS, ICD-10CM , and CMS regulations.
v Familiarity with CMS1500, ADA and UB04 claim form completion
v Strong analytical, oral, written communication skills.
v Familiarity with health insurance and other third-party billing practices and guidelines.