What are the responsibilities and job description for the Billing Spec I position at Scenic Mountain Medical Center?
Key Responsibilities
Post charges into billing system within 24-48 hours and completes other billing functions under direction of supervisor
Identifies possible billing errors that might prevent the claim from being processed on the insurance company level
Verifies patient coverage and demographic information, draws conclusions, and corrects billing errors or other Claim issues
Ensures compliance with applicable laws, HIPPA regulations and company policies
Contributes to improvement of billing procedures and processes
Escalates problem claims to management as required by circumstances
Communicate effectively with clinic/administrative personnel, assigned coder and CLT-Team
Completes assigned training and education
Performs other duties as assigned
All other duties as assigned.
Minimum Requirements
High School diploma or GED equivalent
Demonstrated basic experience with medical billing, CPT and ICD-10 codes
Ability to exercise discretion on sensitive and confidential matters
Demonstrated ability to communicate effectively on the phone, in writing and via email
Demonstrated computer skills with data entry software, Microsoft Word, and Excel
Institutional accreditation and degree obtainment will be verified upon hire
Preferred Qualifications
• One or more years billing or coding experience preferably in the medical field, insurance, banking, hospital medical office or other experience with extensive customer service contact
Physical Requirements
Standing, sitting, walking, speaking, listening, bending, reaching, pushing, pulling, lifting; grasping and manipulating tools, typing, using peripheral computer tools
