Billing Specialist I | Revenue Cycle

Program: Revenue Cycle

Schedule: Monday – Friday | 8am – 5pm

The Billing Specialist I performs a variety of routine billing, accounting, and administrative tasks in support of the Revenue Cycle function. This position works under close supervision and follows established internal controls and procedures for all billing transactions and ensures a high level of customer service.

Builds knowledge and skills to effectively manage service-to-payment conversion processes including denials, non-response, service error management, authorizations, and eligibility. Verifies insurance and eligibility on all patients using online portals or phone calls; updates patient accounts with correct insurance information. Manages accurate documentation of patient demographics. Determines pre-authorization necessity and obtains authorization for scheduled procedures via phone, website, or form. Receives and posts payments from clients. Contacts patients and/or clinical programs to obtain additional insurance information. Monitors and completes daily fax requests. Communicates insurance and other updates to appropriate staff. Meets established production goals.