Determine primary and secondary insurance company responsibility
Review client charts to ensure accurate documentation and insurance provider responsibility
Push charts from funding system into billing system
Prepare and submit claims for portal, paper, and electronic processing to insurance companies or governmental institutions
Balance daily batches and run needed reports
Print and scan proof of deliveries for each claim
Follow up on previously billed claims as required by departmental need
Investigate and resolve billing errors and issues; rebill claims when necessary
Contact insurances for billing assistance and claim resolution
Work with collectors, cash posters, and funding team when issues arise
Alert the Manager of Funded Billing & Cash Posting of potential billing/collection issues
Update account notes to document billing actions and expected outcomes
Research and stay abreast of state, federal, and third-party funding regulations for assigned accounts ensuring billing and payment practices comply with third party payer requirements
Act as a back-up to primary, secondary, and other billers
Properly document processes so that others can reperform them
Provide training to others in the organization to help educate employees on the billing process
Perform various other tasks as assigned

High School Diploma
2 or more years medical billing experience
Knowledge of how payments are processed by insurance companies and an understanding of contractual adjustments and refunds preferred
Knowledge of medical insurance claims procedures and documentation preferred

Billing Specialist

About this role