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)