Billing Specialist

Billing Specialist Overview

• The Billing Specialist role offers an opportunity to manage essential billing processes within a dynamic healthcare setting.
• Utilize your expertise in insurance terminology and coding standards to ensure accurate billing and claims processing.
• Engage directly with patients to resolve billing inquiries and establish payment plans as needed.
• Work independently while maintaining a high level of organization and attention to detail.
• Contribute to the verification of insurance benefits and communicate patient responsibilities effectively.
• Collaborate with insurance companies to address outstanding claims and submit appeals when necessary.
• This contract role offers potential for transition to permanent employment based on performance.

Billing Specialist Key Responsibilities & Duties

• Review claims for accurate ICD-10 and CPT code charges against physician progress notes.
• Handle incoming patient calls, resolving inquiries and establishing payment plans as needed.
• Verify insurance benefits via phone or internet for scheduled appointments and notify patients of their responsibilities.
• Obtain referrals as required and ensure compliance with insurance policies.
• Follow up on outstanding or denied claims, submitting corrected claims and appeals as necessary.
• Post ERA payments accurately and maintain detailed records of transactions.
• Perform additional administrative duties as assigned to support the billing department.

Billing Specialist Job Requirements

• High school diploma or GED required; additional certifications in medical billing are advantageous.
• 1-2 years of relevant work experience in medical billing or equivalent training.
• Proficiency in ICD-10 and CPT coding standards and insurance terminology.
• Strong organizational skills and the ability to work independently with minimal supervision.
• Effective communication skills for patient interaction and insurance company correspondence.
• Experience with electronic billing systems and ERA payment posting processes.
• Ability to evaluate financial statuses and establish payment plans for patients.