Billing Specialist

Position Summary:  Primary duties involve charge posting, payment posting and accounts receivable follow-up. Duties also include related clerical support.

Position Accountabilities:                                                                            Percent of time:

1.                 Enter daily charges.

2.                 Research charge, diagnosis, and insurance information to ensure

accuracy within billing practice guidelines.

3.                 Enter daily payments, adjustments and determine correct balance

according to insurance carrier payment agreements.

4.                 Complete all correspondence in a timely manner.

5.                 Maintain various files and records to ensure charge capture.

6.                 Process all third party insurance forms to carriers.

7.                 Cooperate and maintain an open forum of communication with

            patients, co-workers, clients, outside business representatives

            and Supervisor.

8.                 Balance accurately all monies received and applied.

9.                 Follow through on all accounts from aged reports.

10.              Advise Supervisor of denials caused by technical problems,

            billing specs, codes, etc., and any other intra-office issues.

            Submit documentation to support.

11.             Run a daily audit for charge or payment/adjustment balancing.

12.             Review credit balance accounts and make necessary adjustments.

13.             Review accounts to send to collection.

14.             Performs other duties as assigned/requested.

Position Qualifications (minimum):

Education (including license, registration, and/or certification if applicable):

High School education or equivalent.

Experience:               

One year of clerical support, preferably in a medical billing setting. Knowledge of medical terminology preferred.

Knowledge, Skills, Abilities required:

Must be able to work independently with speed and accuracy. Must be sensitive to confidential information. Must maintain professional and courteous contact with patients, insurance carriers and co-workers.

Working Conditions/Physical Demands (quantified):

Normal office conditions. Must be able to sit for prolonged periods of time. Extensive keyboard use is required. Ability to use a telephone and fax with proficiency. May be required to lift up to 50 pounds.

Alternative to Minimum Qualifications:    

Will consider an equivalent combination of education and experience.