What are the responsibilities and job description for the Billing Specialist position at Southeastern Integrated Care LLC?
Summary:
The Billing Specialist is responsible for the QA and submission process of claims to the insurance payors through our EMR system.
Essential Duties and Responsibilities:
- Receiving for quality assurance the claims in the EMR system.
- Following up on the claims that need correction with the provider and supervisor.
- On-time submission of claims to maintain the company's cash flow.
- Managing balances and identifying inconsistencies ahead of time.
- Creating reporting to identify trends, opportunities, and conflicts with the claims.
- Support other departments with billing information.
- Credential providers and have insurance contract information updated
- Update the insurance rates in the EMR system.
- Give and deny access to employees in the EMR system depending on their role.
- Connect with the EMR support team if needed.
- Other duties as assigned.
Supervisory Responsibilities:
This position does not oversee staff.
Qualifications:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
- Bachelor’s degree preferred.
- 2 plus years’ experience working in a billing specialist role for the medical or behavioral health field.
Required Skills/Abilities
- Strong Communication skills, including writing, speaking, and active listening.
- Great customer service skills.
- High degree of attention to detail and trustworthiness.
- Good problem-solving and critical thinking.
- In-depth knowledge of industry best practices.
- Proficiency in Microsoft Excel and Accounting software.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The work is typically performed in an office environment, with a moderate noise level.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Movements including but not limited to prolonged periods of sitting at a desk and working on a computer, occasional standing, walking, bending, and reaching are required.
- Regularly required to use hands to handle or feel; talk; see; and/or hear. Specific vision abilities required by this job include close vision and color vision.
- Must be able to lift up to 15 pounds at all times.
