Responsible for insurance-related and patient account activities for the practice. The role requires a thorough understanding of practice management software and working knowledge of medical coding, claims procedures, and insurance company regulations. Accuracy, attention to detail, and effective communication with physicians, staff, patients, and insurance companies are essential.

Principle accountabilities include:

Collect necessary information for charge capture
Assign codes as needed
Compute charges for visits and/or procedures
Enter charges in the practice management system
Create and send claims to primary and secondary payors
Appeal claims as needed
Perform E&M auditing
Meet billing office expectations in a timely manner and consistent with practice standards
Post payments from patients and insurance companies
Prepare daily bank deposits
Answer patient billing questions
Actively collect patient accounts and coordinate with collection agency
Print and review monthly billing reports
Obtain precerts for departmental procedures
Design templates and transcribe for physicians
Process medical record requests
Scan documents into the Electronic Medical Record
Perform other assigned duties

Physical demands may include sitting and walking frequently, lifting or carrying light to heavy loads, and occasionally bending, squatting, crawling, kneeling, climbing, reaching, and pushing/pulling.

Billing Specialist