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Billing Specialist

Billing Specialist

Aya HealthcareColumbus, OH, US
3 days ago
Job type
  • Full-time
Job description

Patient Account Processing

Responsible for the timely processing of duties and / or activities related to the accurate processing and handling of patient accounts. Ensures that all patient account information, charges, billings, and follow-up activities are accurate, complete, and timely.

Essential Functions

  • Reviews patient account information for completeness and accuracy.
  • Makes necessary changes / updates to patient account information to ensure timely payment on accounts. Retrieves status information from government and third party payers regarding outstanding professional claims.
  • Coordinates with governmental agencies, third-party payers, and internal auditors to ensure maximum reimbursement for hospital services.
  • Acts as a liaison between the hospital and third party payers in resolving billing and reimbursement issues.
  • Provides follow-up on claim edits, rejections, denials, and outstanding professional claims in a timely manner.
  • Maintains patient records and ensures confidentiality of sensitive information.

Education Requirement

  • High school diploma, required.
  • Associates degree, preferred.

    • Licensure Requirement

    (not specified)

    Certifications

    (not specified)

    Skills

  • Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third party payers.
  • The ability to do data entry and work a calculator.
  • Problem identification and problem solving skills, required.
  • Excellent interpersonal, verbal, and written communication skills.
  • Excellent organization skills and the ability to comprehend and follow written and verbal instructions.

    • Experience

  • Two years' experience in medical billing, claims follow-up and customer service, required.
  • One year experience working on a mainframe computer. Experience using Outlook, Word and Excel, required.

    • Physical Requirements

    OCCASIONALLY : Lifting / Carrying : 0-10 lbs, Lifting / Carrying : 11-20 lbs, Pushing / Pulling : 0-25 lbs, Reaching above shoulder, Squat / kneel, Standing, Walking

    FREQUENTLY : Flexing / extending of neck, Patient Equipment, Peripheral vision

    CONTINUOUSLY : Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use : grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand / arm use, Seeing Far / near, Sitting

    Additional Physical Requirements Performed But Not Listed Above

    (not specified)

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    Billing Specialist • Columbus, OH, US