Position: Direct Billing Specialist

Hours: Full TimeSetting: Corporate officeLocation: Hybrid to Fort Smith, AR

GENERAL PURPOSE

Performs all duties related to the timely and efficient billing and collection of private and other payer receivables for a group of clinics in a central billing environment, within the parameters established by company policies and third-party billing requirements, and as necessary to achieve reasonable collection goals.

ESSENTIAL JOB DUTIES

Prepares and submits all claims/statements for Private, Medicaid, Medicare, etc. including primary, secondary and supplemental, as required.Utilizes tracker spreadsheet to document and follow up on payer commitments.Responds to payer requests for documentation.Identifies payment discrepancies and unpaid claims; takes appropriate action to resolve balance.Prepares A/R adjustments and corrections as needed.Identifies, researches and resolves credit balances according to policy and payer requirements.Responds to all requests for information, documentation and account corrections, where applicable.Identifies adverse trends resulting in returned or denied claims (e.g., repeated failure to obtain prior authorization) and communicates to CBO Manager.Reports status of claims and AR balances to supervisor, upon demand and/or according to established schedule and procedures.Participates in monthly AR review.Prepares account write-off when collection efforts exhaust.

QUALIFICATIONS

High school diploma or equivalentMinimum of one (1) year experience in health care insurance billing, preferably for therapy billing or a skilled nursing facility provider.Must be capable of maintaining regular attendance

KNOWLEDGE, SKILLS, ABILITIES & BEHAVIORS

Working knowledge of Microsoft Office applications (Outlook, Word, Excel, & PowerPoint) and ability to learn company or customer systemsGood knowledge of Private (Self-Pay), Medicare, Medicaid, commercial insurance and managed care plans, including basic coverage models, billing requirements, subscriber and provider responsibilities, and coordination of benefit (COB) rules.Knowledge of SMART billing system preferred.Ability to manage, analyze and reconcile billing and payment detail.Ability to work under pressure, meet changing deadlines, and maintain orderly files.Ability to work well in a team-oriented, cooperative environment.Good written, verbal, telephone communication, and organizational skills.Knowledge of how to operate a 10-key calculator.Must be able to maintain confidentiality regarding patient, employee and company proprietary informationMust have the ability to relate professionally and positively and work cooperatively with patients, families, and other employees at all levels

EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer.  For detailed information on your rights, Click Here OR https://aegistherapies.com/equal-opportunity-employer-provider-of-healthcare-services/.