Specialist-Billing

Overview

Job Summary

Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing. Performs other duties as assigned.

Responsibilities

• Handles telephone communication with patients, insurance companies and other BMG clinic or BMG Foundation personnel.
• Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows
• Reviews and / or processes all credit balances from supplied reports.
• Works all insurance denials, via paper and / or electronic in work queues.
• Monitors and processes all assigned electronic and / or paper claim status. i.g. claim edit and no response work queues.
• Completes assigned goals

Specifications

Experience

Minimum Required

Preferred / Desired

Education

Minimum Required

Preferred / Desired

Training

Minimum Required

Preferred / Desired

Special Skills

Minimum Required

Preferred / Desired

Licensure

Minimum Required

Preferred / Desired