The Billing Specialist is responsible for timely and accurate submission of primary, secondary or other claim types to the appropriate payer source. Prepares billing reports and distributes to leadership. Responsible for balancing claims generated by the host system to the electronic billing system ensuring all claims generated uploads into the billing system for submission. Monitors all billing reports and communicates any issues that are creating billing delays. Associate is responsible for feedback to manager to ensure all issues affecting billing, collections, customer service, refunds and auditing processes are communicated timely.
Two (2) years’ experience in any of the following:
- Medicare, Medicaid or Commercial Insurance billing and/or collections.
- Insurance Company health claims processing.
- Knowledge of third-party payer policies and procedures preferred.
- Hospital UB electronic claims filing preferred.
- Previous experience in a healthcare setting preferred. College education and/or trade school education may be considered in lieu of formal experience.