ECI Billing Specialist

General Summary

Performs a variety of complex clerical and accounting functions for patient billing, including maintenance of third party billing records and resolution of a variety of insurance issues. Follows up on submitted claims and patient billing; resubmits claims or resolves problems. Works with others in a team environment.

Primary Responsibilities

1.Assists in obtaining pre-authorization from insurance carriers, when necessary. Compiles and submits all required documentation to the insurance.

2.Processes billings to patients and third party reimbursement claims; maintains supporting documentation files and current patient addresses.

3.Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.

4.Researches and responds in person, by telephone, or in writing to patient inquiries regarding billing issues and problems.

5.Works with staff to ensure that correct diagnosis / procedures are reported third party insurance carriers.

6.Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.

7.Posts and reconciles payments to patient ledgers.

8.Balances daily batches and reports, prepares income reports and statistics; distributes reports as requested.

9.Follows and reports status of delinquent accounts.

10.Reviews accounts receivables and make recommendations to supervisor regarding collection.

11.Maintains patient demographic information and data collection systems.

12.Maintains billing / filing records in accordance with established protocol.

13.Performs a variety of general clerical duties and other routine functions.

14.Ensures strict confidentiality of financial records.

15.Performs other duties as assigned.

Work Experience

Minimum of one year experience in medical office setting.

Two years of prior employment experience in medical billing.

Education / Certifications / Licensure

High School Diploma or equivalent

Skills

Computer skills and experience in maintaining automated recordkeeping systems.

Good communication skills, written and oral, are necessary.

Prefer bilingual in English and Spanish.

Medical billing certification preferred; not required.

Physical Requirements If a preliminary offer of employment is extended, a physical will be required before the offer can be accepted.

Light to medium physical duties include standing, walking, reaching, bending, hearing, and talking for up to eight(8) hours a day. Must have good vision; with or without corrective lenses. Must be able to lift twenty (20) pounds. Lifting will be primarily confined to occasional on-premises lifting of boxes of office supplies and minor office equipment.