Billing Specialist

• 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.

Minimum Qualifications

• High School Diploma.
• Bilingual in English and Spanish preferred.
• One (1) year experience in medical claims processing.
• Typing skills 35-40wpm required.
• Knowledge of CPT, ICD-10 codes, and medical terminology required.
• Knowledge of insurance requirements, reimbursement processes, and the ability to understand EOBs required.
• Good telephone etiquette and organizational skills.
• Able to handle diversified duties.
• Must be computer literate and have the aptitude to learn new programs as changes occur.

Job Summary

Responsible for submitting claims and following up with insurance companies on outstanding AR.

Position Goal

Full-time, goal-oriented, revenue-driven, highly accurate and motivated biller who will establish and maintain strong relationships with providers, clients, patients and fellow staff.

Schedule/Compensation

Excellent and competitive benefits package offered which includes medical, dental, vision, disability and life insurance. Company matching retirement plan and generous paid time off to include vacation and sick leave accruals starting from the date of hire.