Billing Specialist

GENERAL DESCRIPTION

This is work following established procedures in the accounts receivable unit of the accounting department. Work includes compiling data from billing and activity logs, checking data for completeness and accuracy, recording, entering, and retrieving information in an automated database and preparing invoices for payers.

EXAMPLES OF WORK :

Work may include, but is not limited to, the following examples :

• Remains alert during working hours; attends work as scheduled and complies with attendance policies.
• Reviews billing documents for accuracy and completeness, computes amounts due and makes corrections when necessary.
• Identifies appropriate service payment options and prepares itemized claims following payer coding and other protocol requirements.
• Coordinates insurance payments with state, federal, and self- pay options. Maintains contact with payer representatives and follows-up on problem claims to resolve.
• Enters billing information utilizing established codes and protocols, updates, and / or retrieves consumer and service delivery information in an automated database system.
• Prepares and reviews billing documents for accuracy and sends records of transactions to payers for payment.
• Compiles and maintains billing and related documents and records in organized manner in accordance with agency and regulatory requirements; ensures completeness and accuracy of information.
• Sorts and files documents alphabetically, numerically or by other established methods; removes and returns requested material from files; prepares file folders by subject, name or other headings.
• Compiles and maintains lists and records, using computer based files.
• Responds to billing inquiries from staff and consumers.
• Copies, sorts, collate, and assemble materials.
• Operates standard office equipment i.e. computer, calculator, copy machine, etc.
• Maintains confidentiality of all consumers; complies with regulations pertaining to confidentiality of consumer protected health information.
• Maintains a professional appearance and demeanor.
• Processes weekly batch billing invoices consistent with policy and procedures.
• Performs other related work as assigned.

EXAMPLES OF KNOWLEDGE, SKILLS AND ABILITIES :

Knowledge and application of elementary mathematics

Working knowledge of computer

Good oral and written communication skills that include reading, writing and speaking the English language

Skills in keyboarding and use of a personal computer

Skill in organizing materials

Skill in preparing spreadsheets and reports

Ability to enter information into an automated database with a high degree of accuracy and speed

Ability to proofread detailed materials for accuracy and completeness.

Ability to work with numbers to avoid errors and recognize errors made by others

Ability to use coding systems

Ability to establish and maintain billing records; use filing systems; and to retrieve and compile data

Ability to quickly adapt to specific office practices with speed and accuracy

Ability to maintain a high standard of ethical conduct; exhibit honesty, integrity and ethical behavior

Ability to work harmoniously with employees, applicants, recipients, and the general public

Ability to handle confidential information appropriately

EXPERIENCE AND EDUCATION QUALIFICATIONS :

The following education and experience qualifications are the minimum requirement used to admit or reject applicants for consideration.

AND

AND

DESIRED

Successful work experience keyboarding insurance, Medicaid and Medicare claims and with billing software programs.

NECESSARY SPECIAL QUALIFICATIONS :

No candidate may be considered for employment who is under the supervision of Federal, State, and / or County Corrections Department nor have any pending felony or misdemeanor charges other than minor traffic charges.

All candidates must successfully pass a criminal history background check.