Job Description : Billing Specialist
Reports to : Senior Revenue Cycle Manager
Job Purpose :
We are a pediatricnon-profit organization seeking a billing specialist to join our professional team.The billing specialist will manage all matters and communications relative toinsurance claims on behalf of Texas Hearing Institute.
Position Information :
Hours Weekly : 40
Monday - Friday : 8 : 00 am - 5 : 00 pm
Starting Salary : Determined by experience.
FLSA Status : Non-exempt
Benefits :
- Health & Dental Insurance
- Life Insurance
- Long Term Disability Insurance
- 403 (b) Retirement Plan
- 12 Paid Holidays
- 21 Paid Time Off Days
Major Responsibilities
Stays focused on maximizing revenue and reducing contractual allowances / discounts / MWS and other (grants) write offs at all timesFiles all THI claims. Files all THI appeals, and corrected claims, as neededHandles all communications with Insurance / Medicaid provider relations re : underpayments and / or denials through to final resolutionEnters and posts all service-related (program) payments into IMS softwareRegularly reviews all client accounts and keeps them clean, including notifying clients of balances due, issuing check requests for refunds due, or making necessary adjusting entries.Assists Senior Revenue Cycle Manager in Accounts Receivable (A / R)Assists Senior Revenue Cycle Manager with awareness of insurance / Medicaid policy and / or contractual changes, and notifies management and / or program directors as changes occurPrepare and process insurance claims timely and accurately to government, commercial and managed care payers.Review and distribute corrected claimsResolve claim edits via claim edit work queues and / or our external billing softwareOther Responsibilities
Acts as backup to THI Verification Specialist and Front Desk (Receptionist) in their absence and / or as neededCustomer Service Standards
Support co-workers and engage in positiveinteractions.Communicate professionally and timely withinternal and external customersDemonstrate friendliness by smiling and makingeye contact when greeting all customers.Provide helpful assistance in anticipating andresponding to the needs of our customers.Collaborate with customers in planning anddecision making to result in optimal solutions.Ability to stay calm under pressure and dealeffectively with difficult peopleEducation and Experience Requirements :
High school diplomaMust have three-plus years of claims (insurance billing) experienceSpecific Skills :
Knowledge and acquiredusage of Microsoft standard programs; in particular, Microsoft Word and ExcelGood communication skills,particularly with inter-departmental communicationsKey Competencies
Verbal and written communicationskillsProfessional personalpresentationStandard PC usageOffice organizationReliabilityBasic Competencies :
Internet- using the internet for filing claims, gathering information, andcommunicatingSpreadsheets- knowledge and ability to create, modify, and electronically transmitEmailand fax machine knowledge and familiarityTools :
DesktopcomputersLaptopcomputersiPadScannerFaxmachineCopyMachinePostageMeterTechnology :
InternetMicrosoft Word and ExcelIMS (program software) - onsite trainingPlease visit our careers page to see more job opportunities.
