What are the responsibilities and job description for the Billing Specialist position at Community Action Partnership of Kern?
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**Billing Specialist**
**Full-Time, Monday- Friday 7AM-4PM**
Areas of Responsibility
:
Responsible for all aspects of the Health Center's billing including charge entry, general coding guidelines, payment posting, account receivables management, rejection, and denial management.
Major Duties
:
Work with patients to answer billing questions and concerns; facilitate error correction when needed or escalate to the appropriate internal party.
Maintain and update spreadsheets and tracking pertaining to account balances, aging, and claim rejections/denials accurately and timely.
Complete *daily* account billing: generate claims, mail claims or send electronically to appropriate insurance carrier. Routinely analyze and work claims that are rejected or denied.
Assure adjustments and payments are made appropriately and accurately in the Electronic Practice Management system.
Remain current with agency billing policies and ensure billing processes are following agency billing policies.
Assure timely identification of patient account credit balances and processing of refunds.
Manage accounts receivable by performing collection activity procedure to past due A/R accounts of insurance carriers and clients.
Make recommendations to the Billing Manager for problem resolution and identification of erroneous processes at the front end of the billing cycle and encounters.
Accurately document all activity taken in each patient's account.
Maintain understanding of 3^rd^ party billing hierarchy.
Maintain understanding of current coding and billing regulations and compliance requirements for the Bureau of Primary Health Care, Medicaid, Medicare, and private billing/insurance companies.
Remain current with ICD-10, CPT and HCPSS codes and users.
**Billing Specialist**
**Full-Time, Monday- Friday 7AM-4PM**
Areas of Responsibility
:
Responsible for all aspects of the Health Center's billing including charge entry, general coding guidelines, payment posting, account receivables management, rejection, and denial management.
Major Duties
:
Work with patients to answer billing questions and concerns; facilitate error correction when needed or escalate to the appropriate internal party.
Maintain and update spreadsheets and tracking pertaining to account balances, aging, and claim rejections/denials accurately and timely.
Complete *daily* account billing: generate claims, mail claims or send electronically to appropriate insurance carrier. Routinely analyze and work claims that are rejected or denied.
Assure adjustments and payments are made appropriately and accurately in the Electronic Practice Management system.
Remain current with agency billing policies and ensure billing processes are following agency billing policies.
Assure timely identification of patient account credit balances and processing of refunds.
Manage accounts receivable by performing collection activity procedure to past due A/R accounts of insurance carriers and clients.
Make recommendations to the Billing Manager for problem resolution and identification of erroneous processes at the front end of the billing cycle and encounters.
Accurately document all activity taken in each patient's account.
Maintain understanding of 3^rd^ party billing hierarchy.
Maintain understanding of current coding and billing regulations and compliance requirements for the Bureau of Primary Health Care, Medicaid, Medicare, and private billing/insurance companies.
Remain current with ICD-10, CPT and HCPSS codes and users.
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