Overview
Under general supervision, the Insurance Billing Specialist is responsible for a variety of tasks relating to claims processing, collections & account follow-up. The Insurance Billing Specialist also contacts insurers, third-party administrators and responsible parties to resolve accounts issues.
Responsibilities
Ensures all levels of insurer / governmental claims have been filed and are paid in a timely manner
Investigates, corrects errors, and resolves all past-due accounts
Communicates with insurers / governmental agencies representing LifeLinc
Answers inquiries by phone and/or email from patients and/or payors regarding billed information related to payor policies
Working Accounts Receivable weekly - starting with the most aged accounts – and has the ability to file reconsiderations and appeals with insurers / governmental agencies
Works all claim denials and report all trends and issues to team leads
Performs other duties as assigned
Qualifications
Qualifications
High school diploma or General Education Degree (GED)
Two years or more experience in healthcare revenue cycle, denials management, revenue integrity, medical records, follow-up, hospital business office or physician practice office. Candidates with CBO experience are preferred
Knowledge of & experience with health care information system technology
Understanding of healthcare care billing & revenue cycle operations
Proficient in all Microsoft Office applications
Analytical strengths and attention to detail
Familiarity with CPT-4 and ICD-10 coding
Excellent computer skills
10-key by touch