Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information.
Handles carrier correspondence, manages EOBs, and keys payments received into the system.
Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
Collects, posts, and manages patient account payments.
Investigates rejected claims to see why denials were issued and correct claims.
Facilitates 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, verifies discrepancies by and resolves patient billing issues, and answers questions from patients, facility staff, and third-party vendors.
Supports additional coding, billing, and practice management projects as needed.
All other duties as assigned.

Highschool graduate or equivalent.
Minimum three years of billing experience.
Minimum one year of 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 II

Key skills