Hybrid Billing Specialist bei Crossing Healthcare

Description

Job Summary:

The Billing Office Specialist reports to the Director of Business Services and receives work directives from them.  The Billing Office Specialist is responsible for and manages the claims process, including accurate and timely claims creation, follow-up and correspondence with insurance inquiries as well as posting both insurance and patient payments accurately and timely. The billing Specialist will also work in maximizing the accuracy, efficiency and promptness of the claim life-cycle.

Supervisory Responsibilities:

• None

Qualifications

Duties/Responsibilities:

• Addresses and resolves billing problems and disputes
• Prepares and submits clean claims to third party payers either electronically or by paper.
• Maintains all records in professional and acceptable manner
• Follows up with insurance companies on denials or rejected claims. Resolves issues and resubmits claims and documents denial and rejections.
• Posts payments received and ensures electronic and manual payments are properly posted in the EMR.
• Updates patient information and demographics on computer
• Verifies patient eligibility for Public Aid and Medicare and Commercial Carriers
• Serves as a contact for billing and other insurance issues
• Performs other duties as required

Competencies

• Ability to maintain confidentiality
• Ability to make decisions and solve problems
• Ability to prioritize and organize work
• Ability to remain calm under stressful conditions
• Ability to speak and write fluently in English
• Ability to work in situations with limited interactions with others
• Ability to work under minimal supervision
• Proficiency in use of telephone system, computer, and basic office equipment
• High level of interest in working with data
• High level of mathematical and numerical abilities

Education and Experience:

• High School Diploma or equivalent
• Knowledge of adult and/or pediatric office practice
• Three (3) years successful experience in medical billing
• AAS degree in Office Technology with healthcare specialty (preferred)
• Education or experience in accounting or bookkeeping

Physical Requirements:

Little or no physical effort or strenuous activity other than incidental walking, standing, bending, reaching and carrying light loads (1-5 lbs.)