Billing Specialist

Responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts, including billing, collections, follow-up, reporting, and related duties to maximize reimbursement of services provided and support hospital goals.

Key responsibilities include:

• Auditing patient billing records against clinical records before billing and maintaining supporting audit documentation
• Managing assigned accounts receivable balances to ensure timely and accurate billing and payment
• Communicating billing releases to third-party payers
• Following up on outstanding account balances and resolving issues promptly
• Conducting ongoing account audits using AR, Billed Open, and Unbilled reports
• Generating secondary claims and rebills, verifying claim accuracy, and releasing them to payers
• Reviewing rebill and denial logs and processing EOB/ERA rejections
• Processing refund requests in a timely manner
• Entering charges, payments, adjustments, and other patient account transactions accurately
• Recording and balancing A/R and miscellaneous cash
• Preparing bank deposits and posting cash and adjustments to patient records
• Performing electronic billing to insurance companies
• Making follow-up calls to insurance companies and guarantors
• Verifying the accuracy of figures, calculations, and postings related to business transactions