The Billing Specialist is responsible for payer and patient account balances being paid timely and remaining current. Performs collection activities such as monitoring delinquent accounts, contacting patients for account payment, resolving billing problems, and answering routine and non-routine account inquiries. This is both a clerical position with very structured, process-based responsibilities, yet also requires a high level of personable patient/provider interactions with an ability to work independently and be accountable for use of time.Essential Functions and Responsibilities: Monitors delinquent accounts and performs collection duties. Reviews reports, identifies denied claims, researches and resolves issues, may perform a detailed reconciliation of accounts, resubmits claim to payer.Reviews payment postings for accuracy and to ensure account balances are current. Works with co-workers to resolve payment and billing errors.Complete charge entry.Verifies existing patients have necessary referral and/or authorization documentation prior to examination date, as it may apply. Contacts and follows-up with patient’s physician for any missing or incomplete documentation.Assists patients to secure past due balances, verify patient demographics and insurance providers, updates information in systems, and documents conversations.Contacts third party payers to resolve payer issues, expedites claim processing, and maximizes medical claim reimbursements.Communicates with management when payer opportunities are identified.Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records.Recommends accounts for collection or write-off.Answer the phone in a professional manner and follow procedures for routing calls. Retrieve checks returned to customers in error, adjusting customer accounts and answering inquiries about errors as necessary.Perform other duties as assigned.Requirements and Qualifications: Education: High school graduate or equivalent is required. Certificate/License: None. Experience: A minimum of one (1) year of customer service experience is required.Community Care Partners is an Equal Opportunity Employer (EEO).