Job Title: Billing Specialist

Location: Corporate Office

Travel Required: No

Position Type: Full Time

Reports To: Billing Manager and Practice Manager

Job Description: Responsible for submitting claims and following up with insurance companies, collecting, posting, and managing account payments. Billing experience preferred.

Role and Responsibilities

Administrative

• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing questions and complaints
• Prepares, reviews and sends patient statements
• Evaluates patient’s financial status and establishes budget payment plans; follows and reports status of delinquent accounts
• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency
• Research and appeal denied claims
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Works patient and insurance AR
• Helps submit and maintain Provider insurance credentialing

Professional

• Demonstrates initiative and responsibility
• Able to perform repetitive tasks without loss of focus
• Adheres to ethical principles
• Time Management
• Prioritizes and can perform multiple tasks
• Adapts to change
• Attends all team meetings and mandatory in-service training/education
• Basic computer skills
• Type minimum 45wpm

Communication

• Recognizes and respects cultural diversity
• Adapts communication to individual’s ability to understand
• Uses professional, pleasant telephone etiquette
• Uses medical terminology appropriately
• Treats all patients and co-workers with compassion, e-mpathy, and mutual respect
• Projects a professional manner and image
• Consistent attendance and punctuality
• Adherence to time clock procedures

Legal

• Maintains confidentiality and documents accurately
• Uses appropriate guidelines for releasing patient information
• Practices within the scope of education, training and personal capabilities
• Conducts self in accordance with Suncoast’s employee manual.
• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA

Core Competencies

• Efficiency
• Attention to details
• Organized
• Punctual
• Takes initiative, proactive
• Team Player
• Honesty/Integrity
• Flexible
• Calm under pressure
• “A Doer”, persistence
• Problem solver, Strategic thinking, Creativity
• Analytical skills
• Clear and concise communication/Listening skills
• Quick Learner, Intelligence
• Follow through on commitments
• Enthusiastic, Friendly, Positive attitude
• Openness to advice and constructive criticism
• Strong work ethic

Physical Demands

• Prolonged sitting/walking
• Repetitive motion of head, neck, hands, wrists and arms
• Use of telephone, headset and office equipment such as computers, faxes, scanner copiers
• Multitask position
• Lifting up to 25lbs.
• Extensive reading and writing/typing

Qualifications and Education Requirements:

High school diploma, AA degree or higher. Billing and coding certification, knowledgeable in computer programs, EMR systems, billing experience preferred, and clinical and billing terminology preferred.