Billing Specialist

Overview

The Billing Specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The Billing Specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments based on payer contracts or government regulations.

In addition, the Billing Specialist must demonstrate proficiency with billing systems to ensure all functionality is utilized for the utmost efficient processing of both hospital and professional claims and issuing refunds when necessary. Likewise, the Billing Specialist must be willing to assist the Billing Supervisor with departmental training and perform various miscellaneous work assignments.

Shift: M-F, 8:30 AM - 5:00 PM

• High School graduate or equivalent required.
• One year or more of on the job experience in a like or similar position is required.
• Knowledge of computer and typing skills required.
• Ability to work independently and detail oriented.
• Knowledge of medical terminology; required.
• Must have a good working knowledge of Medicare, Medicaid, and other insurance payors billing guidelines.
• Ability to handle stress in a mature and professional manner; and identify problem situations and implement actions for improvements.

• Ability to lift 30 pounds, walk/sit/stand for extended periods.
• Requires the use of office equipment such as computer terminals, copier machines, facsimile machine or microfilm reader printer.
• Requires normal vision/hearing range, absence of color-blindness; and eye-hand coordination and manual dexterity.