Description

SUMMARY: The Billing Support Specialist assists the Billing department and Revenue Cycle Manager in daily insurance billing operations. 

ESSENTIAL DUTIES:

• Reviews billing or collection errors and assists with resolution.
• Requests missing billing information from physician offices as needed.
• Updates and corrects patient demographic and billing information as needed.
• Investigates and resolves patient billing calls and inquiries.
• Research claim denials and follows-up on requests for information.
• Assists Revenue Cycle Manager with audits and analyses of claim payments, billing statistics, coding and general procedures in order to improve billing operations. 
• Maintains and enhances current knowledge of payer billing guidelines and compliance requirements.
• Performs other duties as assigned.

Requirements

TO SUCCEEED IN THIS ROLE YOU WILL NEED:

• Mid-level Microsoft Excel experience required
• Previous laboratory/medical billing required 
• Telcor billing software experience preferred
• Medical coding experience preferred

QUALIFICATIONS:

• High school diploma or equivalent.
• Ability to exercise initiative, problem solving, critical thinking and decision making. 
• Ability to communicate effectively orally and in writing with physicians, staff and the public. 
• Ability to establish priorities and coordinate activities of clinical staff.
• Ability to work independently and organize work to meet established deadlines.

PHYSICAL DEMANDS AND CONDITIONS:

The physical demands described here are representative of those that must be met to successfully perform the essential functions of the position. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

Clinic/Group Medical Practice environment with exposure to communicable disease or body fluids. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. 

HOURS/TRAVEL:

• Typical work hours: Monday – Friday 8 AM – 5 PM (May vary).
• Depending on client-specific work schedule, may include other daily hours, weekends and/or holidays.
• May need to work occasional overtime as required.

Equal Employment Opportunity Information:

We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.