What are the responsibilities and job description for the Billing Specialist position at SWLA Center for Health Services?
SU
JOB TITLE: Billing Specialist
DEPARTMENT: Finance
SUPERVISED BY: Billing Supervisor
STATUS: Full-Time
WORK SITE CAN BE LAKE CHARLES, LAFAYETTE OR CROWLEY
SUMMARY:
This position is primarily responsible for all patient billing, payments and accounts receivable financial reporting.
EDUCATION, TRAINING AND EXPERIENCE:
1. High school graduate and at least one year experience in the medical field
2. Minimum one year experience in third party billing, ICD-10 and CPT coding.
3. Ability to counsel patients using an effective, courteous and professional attitude under
pressure.
4. Ability to effectively communicate with others
5. Efficiency in office equipment
6. Must successfully complete a pre-employment physical examination and drug screen.
7. Able to perform tasks in a timely manner and should work in a well-organized manner
JOB RESPONSIBILITIES:
- Researches all information needed to complete billing process including obtaining charge information from physicians
- Codes & corrects information regarding procedures performed along with diagnosis
- Reviews and/or keys charge information into online entry program and follows billing procedures
- Works with other staff to follow-up on accounts
- Assists with coding and error resolution
- Contacting payers on denials and correcting claims for resubmission and payment
- Assists with answering the telephone, taking and relaying messages
- Maintains required billing records, reports and files
- Understands and observes organization policies regarding HIPAA confidentiality and security of information
- Other duties may be assigned including special projects and provider enrollment tasks if needed
- Retrieve online remittance advices
- Posts all payments to patient accounts accordingly and in a timely manner
- Assist front office with billing and account inquiring including but not limited to voiding payments posted in error and patient account inquiries
- Maintains information on encounters not received by providers and communicates this information with those providers
- Serves as a resource when needed, including assisting in co-worker training and orientations
- Observes clinic policies and procedures
- Participates in educational experiences designed to maintain competence
- Annually completes all required in-services and training as appropriate to the job