Billing Specialist Position
Major Responsibilities:
The Billing Specialist is responsible for compiling and filing claims with, and processing payments from, government and commercial health insurance plans and individual patients.
Primary Job Functions
• Receives, reviews, corrects, and enters claim information into NC tracks.
• Follows-up on pending claims to help ensure timely payments.
• Promptly resolves issues related to claim denials.
• Receives payments, reconciles with Explanation of Benefits, and then posts as appropriate.
• Performs all responsibilities to meet timely filing and other time sensitive requirements.
• Maintains required files of all appropriate documents and information.
• Complies with HIPAA and other regulations and requirements.
Special Requirements, Skills, Abilities and Qualities
• Requires a self-starter with the ability to work independently and as an effective team member in a professional environment.
• Attention to detail and adherence to established policies and procedures required.
• Candidate will be a problem solver, with the ability to organize and prioritize responsibilities.
• Candidate must be flexible and able to embrace and implement change.
• Effective oral and written communication skills are required.
• Good-natured with a positive attitude and a smile; always courteous and respectful to co-workers.
• Always courteous and respectful regardless of race, religion, personal and/or economic situation.
• Minimum of high school diploma or equivalent, required.
• Candidate will be able to perform basic math functions without a calculator.
• Touch typing/keyboarding and touch10-key, both with speed and accuracy, are required.
• Working knowledge of Windows personal computer, Microsoft Word, and Excel, required.
• Knowledge of medical terminology and coding systems a plus.
• Prior medical insurance billing experience is required.
