Billing Specialist

ESSENTIAL FUNCTIONS 

• Prepares and submits claims to third-party insurance carriers electronically or by mail
• Obtains documentation needed or requested by insurance carrier
• Verifies insurance eligibility and benefits for all appointment types
• Reviews claims for missing information and/or lack of authorization
• Follows up with third-party payers on unpaid claims
• Follows up on rejections and denials to ensure payment
• Keeps up to date on billing rules and regulations
• Analyze and accurately post remittance vouchers
• Prepares patient statements on a weekly basis and follows up on undeliverable statements
• Reviews credit balances and processes patient and insurance refunds following review
• Completes work within required time frames and ensures compliance with departmental standards
• Maintains confidentiality of all information
• Demonstrates knowledge of, and supports mission, vision, policies and procedures, operating instructions, confidentiality statements and standards of the organization
• Participates in staff development to maintain skills
• Assists with training of other team members as needed