What are the responsibilities and job description for the Billing Specialist position at DERMATOLOGY PARTNERS?
Billing Specialist
Location: Pottstown (On-Site)
A Billing Specialist at Dermatology Partners needs to have a strong familiarity with claims procedures, collections techniques and customer query resolution. Knowledge about preparing invoices, processing payments and pursing past due balances. Well versed in accurately coding different types of procedures and diagnosis codes.
Responsibilities include:
- Follow up on submitted claims to ensure claims are processed correctly based on contracted rates and quoted patient benefits
- Review of claims in a timely manner (denials and AR)
- Identifies any payments not being paid at the allowed/contracted amount and communicates this to the appropriate billing manager
- Answers incoming calls
- Provide excellent customer service
- Review and resolve all correspondences and over payments
- Knowledge of payer guidelines and payment methodologies
- Submit insurance appeals
- Re submission of corrected claims via manually or electronically based on payer
- Strong proficiency in dealing with insurance companies with reference to denials
- Provide weekly reports/trends to manager Performs miscellaneous duties as assigned
Desired skills and attributes include:
- Minimum two year of Insurance claims processing, working knowledge of EMR system
- Insurance Billing and Posting Experience: knowledge of payer guideline and the denials appeal process
- Maintains confidentiality of all patient information
- Understanding and being able to read an Explanation of Benefits
- Performs job in compliance with organizations policies and procedures as well as a community standard and in accordance with HIPPA
- Possesses strong investigative, problem solving, detail oriented and organizational skills
- Candidates must be able to work with high volume of work while maintaining attention to detail and accuracy and demonstrate excellent oral and written communication skills
- Ability to multitask
- Ability to work as a team and or individually
- Customer Service experience in answering the phone
- Crossed trained to help within other areas in the Billing Department
- Experience with billing portals (I.E. Navinet, PEAR, and Availity)