Level 2 Billing Specialist

Overview

Reporting to the Billing Supervisor, Level 2 Billers are responsible for the daily entry of charges for their assigned surgical centers. This will include but is not limited to the following : assign modifiers, diagnosis codes, and revenue codes according to reimbursement guidelines resulting in claim reimbursement.

Role and Responsibilities

• Act as a resource for all critical aspects of the CBO which includes liaising between departments as well as assisting Level 1 Billers.
• Execute the recurring billing workflow and generate and transmit to designated electronic claims clearinghouse daily.
• Work DNFB, Hold Timeline Report and Late charges for assigned facilities.
• Resolve claim rejections daily to ensure clean claims are transmitted and received by the appropriate payer.
• Edit Failures, Coding Updates, answer facility emails as well as CSO departmental emails, and billing as needed.
• Ensure timely follow-up and resolution of internal and external inquiries of billing issues (i.e., operative notes, invoices, or implant pricing, etc.)
• Reconcile revenue and billing during the month end close process.
• Maintain current knowledge of health care billing laws, rules, and regulations and developments.
• Help with reports / special projects as needed and other duties as assigned in accordance with priority.

Required Skills

Qualifications and Education Requirements

Preferred Skills

Required Experience