Date: August 10, 2020

Position: Billing Specialist

Department: Billing

Reports To: Revenue Cycle Coordinator

Position Summary:

Our company has an immediate need for an experienced Billing specialist who is familiar with the insurance and revenue cycle process. The ideal candidate will undertake a variety of financial and non-financial tasks in order to help guarantee the company's revenues.

Main Tasks and Job Responsibilities:

Primary Responsibilities

Ensure that all insurance information is accurately obtained and up to date in the practice management system, resolve all discrepancies as needed.
Verify patient eligibility and benefits coverage by utilizing practice management system, carrier websites, or by direct contact with carrier.
Obtain and review referrals, when applicable.
Determine and inform patients of estimated financial responsibility for services to be rendered.
Review daily charges, submit and process medical claims to insurance companies.
Post and review insurance electronic remittance advices received via clearinghouse or paper checks received by mail.
Process patient overpayments as a result of insurance processing, send all other overpayments to Revenue Cycle Coordinator to process.
Follow up on insurance claims, including but not limited to denials, payment discrepancies' and request for more information.

Secondary Responsibilities

Answer calls from patients, staff and physicians regarding billing related inquiries.
Complete letters of medical necessity request
Obtain prior authorization for procedures, when needed
Performs other duties necessary or required by management

Administrative Responsibilities

Ensure proper compliance with all patient information
Train on HIPAA annually
Review and respond to emails, checking at a minimum three times daily

Performance Requirements:

Proficient computer skills
Excellent written and verbal communication skills
Strong organizational and follow up skills
High level of attention to detail, problem solving and analytic skills
Ability to multitask and manage time effectively
Ability to function both independently and on a team in a fast-paced environment.

Education:

High school diploma/GED required.
Minimum of two years of experience in medical office; in patient relations and/or billing preferred
Knowledge and experience with practice management systems; Nextech preferred
Knowledge of insurance and revenue cycle
Knowledge of current ICD-10 and CPT coding system; Dermatology preferred
Coding Certification; Dermatology preferred.
Continued education to stay abreast of billing/insurance trends

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