What are the responsibilities and job description for the Billing Specialist position at Stephens Memorial Hospital?
Position Summary
The Billing Specialist is responsible for conducting insurance follow ups on all claims, billing claims and answering patient’s billing questions as needed. As a cross-trained team member, this position will also be expected to float into other areas of the Business Office as directed.
Essential Job Responsibilities
- Manages billing for Breckenridge Medical Center and Business Office at Stephens Memorial Hospital
- Runs multiple reports as necessary on AthenaHealth
- Bill all primary insurances, Medicare or Medicaid
- Responsible to assure that all claims billed electronically have been accepted by Medicare/Medicaid or other primary insurances as requested
- Follow all policies and procedures set forth by the hospital.
- Develop and maintain knowledge of all rules and guidelines that are needed to properly and professionally complete job duties.
- Drops claims from previous day
- Creates list of encounters not completed by Provider/ Missing Slips
- Reviews Work Bucket, Work List, Claims on Hold, MNGR Hold, and denials no later than 72 hours
- Scans and uploads EOB’s to Athena for posting
- Assists patients with billing questions
- Reviews monthly collection accounts
- Assists with claim reporting as assigned
- Any other duties assigned by the Director of Business Office
Other responsibilities
- Displays excellent customer service skills when interacting with patients
- Gives detailed guidance to the scheduling, reception, and management departments
- Verifies benefits and monitors payments
- establishing payment arrangements with patients
- Follows up with insurance companies
- connecting with patients when payment lapses occur
Employment requirements
- 4 year High School Diploma
- Minimum of 1-2 years of clinic billing experience strongly preferred
- Athena experience strongly preferred
- Experience in Medicare Billing strongly preferred
Knowledge, Skills and Abilities
- Basic computer skills required including MS Office knowledge
- Ability to remain stationary behind a computer screen for extended periods of time
- Demonstrate written and verbal communication skills, which elicit positive and productive outcomes
- Demonstrate commitment to continued self-improvement, honesty, integrity and character, which reflects an atmosphere of professionalism in providing quality work
Work Environment: Rarely be exposed to toxic/caustic chemicals, hazardous materials and waste; rarely work near moving mechanical parts, exposed to wet, humid conditions, fumes or airborne particles, risk of electric shock or vibration. This position is classified as an OSHA category 3 position: rarely exposed to a specific hazard.