The Billing Specialist serves as a staff liaison for account-related questions and performs research related to transactional details, including payments, adjustments, and account activity. The role reviews Explanation of Benefits (EOBs) and Remittance Advice from payers and calculates and posts payments and adjustments for accounts that meet Medicare/Medicaid Bad Debt criteria.
The position supports patient billing inquiries, assists with cashier's office duties as needed, and helps ensure accurate claim processing and reimbursement in a hospital setting.
Requirements & Qualifications
Qualifications
- Previous medical billing, healthcare revenue cycle, or related experience preferred
- Knowledge of insurance billing, EOBs, claim processing, and remittance advice preferred
- Strong analytical, organizational, and problem-solving skills
- Excellent customer service and communication abilities
- Ability to maintain confidentiality and work effectively in a team environment
- Proficiency with computer systems and billing software
Responsibilities
- Validate patients' insurance eligibility to help ensure accurate claim reimbursement
- Monitor claims clearinghouse accounts for edits and rejections and help resolve claims processing issues
- Assist in the cashier's office by answering patient questions, accepting payments, and providing backup support
- Review billing statements with patients and provide explanation and support as needed
- Analyze remittance advice details, including co-pays, deductibles, co-insurance, contractual adjustments, and other payment information
- Develop an understanding of payer processes and reimbursement patterns
- Maintain HIPAA compliance and follow applicable state and federal regulations
Benefits & Perks
Benefits
- Competitive salary
- Comprehensive benefits package
- Professional development opportunities
- Supportive, collaborative work environment
- Values-based leadership
- Opportunity to contribute to patient care and the hospital mission
Location
Wisconsin, US
Employment Type
Not specified
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago
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