• Billing Specialist

    Job Locations US-WI-Green Bay
    Hire Type
    Regular Full-Time
    Category
    Billing
    # of Openings
    1
    Job ID
    2018-5680
  • Overview

    Join our growing team!  Help us meet our mission of Changing Lives of children on the autism spectrum.  In this position, you will be an integral member of our Billing Team.  You will be responsible for the timely, thorough, and accurate coordination of client Third Party Payer verification, billing and collections.

     

    The successful candidate will be a team player, flexible, and possess strong attention to detail with the ability to work in a fast-paced office environment.  Previous medical office billing experience is required.  This is a full-time opportunity that offers competitive pay, a generous benefits package, and a great team-oriented working environment. 

     

     

     

    Responsibilities

    1. Works with CFO, Accountant and Billing Manager to facilitate accurate accounting records.
    2. Maintains information on billing procedures by client.
    3. Prepares and submits clean claims to Third Party Payers.
    4. Researches and resolves client billing issues with Third Party Payers.
    5. Communicates client status of receivables when requested.
    6. Follows and reports on status of delinquent accounts; has plan for collection and aggressively pursues. Documents work performed / action taken in practice management system.
    7. Performs various collection actions including contacting insurance companies and resubmitting claims to the Third Party Payers.
    8. Reviews weekly aged receivables report for accounts that require follow-up.
    9. Follows all insurance regulations.
    10. Performs daily posting of EOBs to patient accounts.
    11. Performs daily follow-up of claims, including resolution of any billing errors.
    12. Reviews patient information to determine why the claim is unpaid.
    13. Obtains additional information needed to appeal denied or underpaid claims.
    14. Processes rejections and denials to determine if the claim needs to be refilled or submitted for an appeal with the Third Party Payer.
    15. Processes all Third Party Payer appeal requests within the time frame required by the payer.
    16. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
    17. Excellent oral, written and interpersonal communications skills.
    18. Consistent and regular attendance is a requirement of the position.

     

     

    This is largely a sedentary role, with frequent sitting and computer keyboarding required. Some lifting (up to 35 pounds), stooping and bending are required.

     

    Qualifications

    Education:

    • High school diploma or equivalent, with coursework in medical insurance and/or billing preferred.

     

     

    Experience:

    • Previous medical insurance, billing, or claims processing related experience.

     

    Skills and Competencies:

    • Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level.
    • Knowledge of medical billing and ICD-10, and CPT coding, as well as knowledge of financial concepts.
    • Knowledge of HIPPA privacy and security rules and regulations.
    • Excellent interpersonal skills, with the ability to communicate effectively with others.
    • Strong organizational skills, with the ability to multi-task and meet deadlines.
    • Demonstrates initiative, with the ability to manage self and workload.
    • Strong analytical and problem solving abilities.
    • Exemplary customer service focus, for both internal and external clients.
    • Strong team player.
    • Displays professionalism and represents organization in a professional manner.
    • Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.

     

     

    Other:   

    • Must be 18 years old or older.
    • Must be able to pass a thorough Background Check.   

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