Job Details

Billing Specialist

Assists patients and families with billing inquiries, resolves disputes, and collects payments for hospital services.

Essential Functions:

• Addresses concerns and questions and resolves issues and complaints in a timely manner.
• Communicates with patients to discuss billing questions and payment options. Negotiates payment arrangements and helps families obtain financial assistance.
• Collaborates with collection agencies, insurance companies, and internal departments to collect payments.
• Processes all "Returned Mail" including skip tracing and contacting doctor's offices for information.
• Assists in resolving payer problems and billing and reimbursement issues.
• Maintains patient records and ensures confidentiality of sensitive information.

Education Requirement:

• High school diploma or GED, required.
• Associates degree, preferred.

Licensure Requirement:

(not specified)

Certifications:

(not specified)

Skills:

• Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third-party payers.
• Ability to relate to diverse age and demographic backgrounds.
• Knowledge of Healthy Start, BCMH, AEMA and Financial Assistance.
• The ability to do data entry and work a calculator.
• Problem identification and problem solving skills are required.
• Excellent interpersonal, verbal, and written communication skills.
• Excellent organization skills and the ability to comprehend and follow written and verbal instructions.

Experience:

• Four years' experience in customer service, required.
• Two years' experience in medical billing and claims follow-up, required.
• One year experience working on a mainframe computer. Experience using Outlook, Word and Excel, required.

Physical Requirements:

OCCASIONALLY: Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Pushing / Pulling: 26-40 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking

FREQUENTLY: Peripheral vision

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Pushing / Pulling: 0-25 lbs, Repetitive hand/arm use, Seeing Far/near, Sitting

Additional Physical Requirements performed but not listed above:

(not specified)