What are the responsibilities and job description for the Billing Specialist position at EligibilityAdvocates?
Job Description
A billing specialist ensures accurate financial reimbursement for medical services by submitting insurance claims (CMS-1500/UB-04), verifying eligibility, and managing denials. They resolve billing issues, communicate with payers and patients, review remittance forms to verify proper reimbursement, and maintain compliance with HIPAA
Key Responsibilities
- Claim Submission: Scrub, prepare, and submit clean, accurate claims to insurance providers (Medicaid, private insurers).
- Insurance Verification: Confirm patient eligibility and benefits.
- Denial Management: Research, appeal, and resolve denied or rejected claims.
- Revenue Cycle Management: Post payments and reconcile accounts.
- Patient Communication: Contact patients for additional information or confirmation of information.
Required Skills & Qualifications
- Technical Skills: Proficiency with electronic health records (EHR) and billing software.
- Verbal Communications skills: Must have verbal communication skills and hearing ability to discuss billing with medical staff, patients, and Medicaid staff.
- Basic Math: Easily able to calculate and identify discrepancies
- Analytical Ability: Strong attention to detail for identifying billing errors and reviewing patient accounts.
- Experience/Education: High school diploma/GED required, with 2 years of experience in a medical office setting preferred
- Organizational: Organizational skills and ability to establish priorities.
Common Performance Metrics
- Daily/weekly/monthly production goals (e.g., number of claims processed).
- Reduction of days in Accounts Receivable (A/R).
- Accuracy of claim submission to reduce denial rates.
Physical Requirements
· Prolonged periods of sitting at a desk and working on a computer
· Must be able to lift up to fifteen pounds at times.
Benefits
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Ability to Commute:
- McAlester, OK 74501 (Required)
Ability to Relocate:
- McAlester, OK 74501: Relocate before starting work (Required)
Work Location: In person
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Ability to Commute:
- McAlester, OK 74501 (Required)
Ability to Relocate:
- McAlester, OK 74501: Relocate before starting work (Required)
Work Location: In person
Salary : $33,585 - $44,707