Utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform a variety of revenue cycle support activities
Maintain practice management system by entering accurate data, verifying and updating insurance, and claims information
Prepare, review, submit, and follow up with clean claims to various companies/individuals
Collect, post and management patient account payments
Investigates rejected claims to see why denials were issued and correct claims
Facilitate swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances as directed by the supervisor
Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completed action steps as necessary
Follows HIPAA guidelines when accessing and sharing patient information
Maintains patient and business confidentiality
Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors
Supports additional coding, billing, and practice management projects as needed
All other duties as assigned

High school graduate or equivalent
Minimum of one year in billing experience preferred
Healthcare experience preferred
Knowledge of revenue cycle processes, medical insurance, and general accounting principles
High degree of accuracy and attention to detail
Ability to manage multiple tasks/projects, and deadlines simultaneously and to identify and resolve exceptions and to interpret data, proficient in data entry
Excellent communication skills, both verbal and written
Proficient computer skills, including Microsoft Office applications

This position is eligible for a quarterly bonus
Bonuses are not guaranteed and are awarded based on company and individual performance

Billing Specialist III

Key skills