Billing Specialist

Role and Responsibilities

• Check Insurance eligibility and obtain benefits.
• Run unpaid and unbilled claims reports and conduct follow ups on denied claims.
• Enter insurance information into the practice management system.
• Obtain pre-authorization for services as needed.
• Work all denied claims including re-submit/rebill on the web portals or Clearinghouse.
• Correcting data in the Billing System for all claims that have been denied due to incorrect data.
• Work directly with providers to ensure accurate coding and ensure that all billable services have been captured accurately.
• Assist the Billing Manager with monthly agency billing.
• Other duties as assigned.

Qualifications and Education Requirements

• High School graduate
• Medical office experience required.
• Medical billing certification preferred.

Physical Requirements

• Ability to sit or stand for periods of time.
• Ability to stoop, squat, etc. for filing.

Special Requirements

• Excellent typing and telephone skills
• Through knowledge of billing and insurance procedures.
• Great customer service skills.
• Computer knowledge with specific preference for knowledge of Avatar billing system.
• Occasional travel may be required.
• Successfully pass criminal records check and urine drug screen.