Billing Specialist

Processes insurance, gathers charge information, completes the billing process, files insurance claims, and performs collection and follow-up work.

Responsibilities include:

• Generates and submits third-party insurance claims and performs follow-up on previously submitted claims.
• Analyzes outstanding insurance balances and contacts insurance companies regarding payment needs.
• Reviews patient denials for possible resubmission and reports denial trends to Revenue Cycle Management.
• Follows up on claims being processed.
• Posts payments in accordance with EOBs received from insurance carriers.
• Assists providers with coding procedures to ensure correct billing.
• Researches information needed to complete the billing process, including obtaining information from providers.
• Offers training and guidance to fellow employees as directed.
• Monitors and maintains sliding fee discount records.
• Follows up on accounts until balances are cleared or turned over for collection.
• Assists patients with billing questions.
• Helps resolve billing errors.
• Attends meetings as required.
• Follows all company policies, procedures, and regulatory and legal requirements.
• Completes required training on time.