What are the responsibilities and job description for the Billing Specialist position at North Texas Area Community Health Centers Inc?
- Process electronic medical claims submission five (5) days per week, review for errors and completeness and make necessary corrections. Ensure electronic claims are received by ClaimRemedi. Update “Claims Transmitted Daily” report.
- Work claim rejection report from ClaimRemedi on a weekly basis.
- Process paper claims per payer requirements on a daily basis. Identify, correct, and rebill errors when necessary. Ensure copies of all paper claims are included in daily CORR batch.
- Review insurance and patient correspondence acquire information to respond to request, and follow up accordingly. Document all information in the “Notes” tab related to the visit and file all copies in daily CORR batch.
- Follow-up on outstanding third-party A/R on a monthly basis as assigned by supervisor. This includes phone calls and/or written correspondence and appeals. Document collection activities in the “Notes” tab related to the visit. Ensure copies of all appeals and attachments are included in daily CORR batch.
- Report any trends identified while working insurance correspondence and A/R to supervisor.
- Assist front office team by reviewing patient accounts for balances and explanation when requested.
- Take incoming calls from patients and insurance. Document all phone calls on the “Notes” tab related to the visit in question.
- Serve as a backup for charge entry when requested by supervisor.
- Work any special projects or assignments as requested by supervisor.