Job Description

The Billing Specialist is responsible for the daily follow up on all delinquent patient balances and claims aged over 45 days.  As well as, work closely with the Coder Charge Specialist by collecting necessary information to dispute any claims that are not paid within a timely manner or claims that are underpaid based on our contracts.   Communicate regularly with the Office Manager regarding delinquent patient accounts.  Provides professional, courteous customer service by screening all individuals entering the facility at designated entrances. Ability to respond to situations and reactions associated with a public facing position.

Education: 

High School diploma required

Certifications/Experience: 

Minimum of 2 years of experience working accounts receivable for medical office or surgery center preferred

General Responsibilities: 

Develops and maintains a high level of knowledge and expertise relative to the work of the Billing DepartmentCharge entry is complete within 24 hours of receiving back from coding, unless the service is pending information needed to enter the charge.Follow regulations for collection, medical records, accounts receivable, and accounts payable in order to meet department goals.Benefits verifications to be done within at least one week prior to the date scheduled including patient prepay callsArrange payment and post payments within two business days of receiving mail batch.                            Maintain effective collection programs for in-house and outside agencies.                                                            Analyze accounts receivable in order to recognize problem areas, and then take appropriate

action to remedy problems.                                                                                                                                      Initiates and maintains contact with various “third party payers” to facilitate future collection of fees and to aid in contract negotiations that are most beneficial to the Center.  

Develops work procedures for the department and works closely with supervisor to ensure proper billing procedures.Maintain a timely turn around on all insurance pending, rejections, additional information statuses, any   customer inquiries. Performs all duties and responsibilities in a manner consistent with, and supportive of, the mission and value statement of the center.Attitude - Provides highest quality service and meeting customers' needs with utmost kindness, care, compassion, courtesy, empathy, respect and friendliness. Always acknowledges and serves customers with a friendly, open smile and direct eye contact.        Appearance - Takes pride in personal appearance, the facility and its surroundings.Commitment to Coworkers - Recognizes we are linked to one another by a common purpose; serving our patients and our community, that we are team members with our physicians and co-workers, and that we each deserve respect and support.Communication - Listens attentively to our customers to fully understand needs. Pays close attention to both verbal and non-verbal communication. Is committed to exceeding customers' expectations and providing more than what is expected.Customer Waiting - Provides prompt service, keeps customers informed regarding the time in which the service will be performed and makes customers comfortable while they are waiting.Privacy – Maintains customer privacy and confidentialityResponsiveness - Acknowledges every approaching patient or family member. Responds in a way that demonstrates the care, courtesy and respect our customers deserve.Safety Awareness - Ensures an accident-free environment. Establishes, promotes and monitors a proactive innovative approach to enhance hospital and patient safety. Adheres to and ensures compliance with Joint commission Patient Safety Goals and hospital safety policies.Sense of Ownership - Demonstrates a sense of ownership in their job, takes pride in what they do, and how they do it. Accepts responsibility for and is in control of the job that needs to be doneTeam Member is accountable for areas of responsibility meeting regulatory requirements including but not limited to maintaining annual TB testing, completing annual mandatories (ALC and competency), and maintaining current registration/certification/licensures as appropriate to position requirements.