Billing Specialist
Job Title : Billing Specialist
Department : Business Services
Reports To: COO
Location: Arlington
Employee Type: Full-Time
FLSA Status: Non-exempt -- Hourly
Summary: The billing specialist is responsible for coordinating patient and insurance billing for our multi-specialty orthopaedic group and providing patient care excellence by performing the following duties.
Essential Duties and Responsibilities include the following:
- Responsible for following entire revenue cycle from charge entry through insurance and patient payments.
- Primarily act as Liaison with external billing company.
- Attend weekly meetings with conference call – outside billing company.
- Answers telephone, and responds to inquiries from insurance carriers, patients and co-workers.
- Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts.
- Establishes payment plans to help patients manage payment of bills.
- Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
- Operates computer to process, store, and retrieve health information.
- Other duties may be assigned.
Supervisory Responsibilities
This job has no supervisory responsibilities.
Education and/or Experience
High school diploma or general education degree (GED). Two to three years related experience and/or training; or equivalent combination of education and experience a must.
Skills and Abilities
Strong computer skills
Working knowledge of third party insurance
Effective communication skills
Ability to work independently and as part of a team
Other Qualifications
Previous medical billing and surgery billing experience required
Prior customer service representative experience a must
Experience with billing program software
Knowledge of ICD-10, CPT, HCPCS codes and documentation guidelines.