Billing Specialist #1219

Essential Responsibilities

• Cook with staff and other sites to identify and determine authorizations and re-authorization, including ensuring authorizations are in place; maintaining a tracking system; following up with front desk staff and clinicians when a client is approaching authorization limit.
• Contact clients to obtain or relay insurance/account information, respond to customer inquiries regarding insurance/account issues.
• Follow-up on Explanation of Benefits from funding sources (e.g. denied claims).
• Post 3rd party payments to client accounts and audit the payments for accuracy.
• Cook with primary therapist to get updated treatment plans, form completions, etc. for re-authorization as needed.
• Cook with billing staff regarding any client changing fund sources.
• Update proprietary software for insurance eligibility and authorized services.
• Verify insurance eligibility and benefits via phone or state system/insurance website.
• Operate basic office machines including scanner, copier, fax, and adding machine.
• Keep records of invoices and support documents.
• Resolve discrepancies in accounts receivable records.
• Cook with Billing Specialists and other agency staff on billing insurances, the clients' accounts receivables, authorizations, and/or any part of the billing process.
• Data entry, reference information on computer, and run basic computer reports.
• Continually increase level of cultural sensitivity, awareness, and competency.

Qualifications

• High school diploma or equivalent.
• Minimum 1 year experience in insurance, accounts receivable, and/or billing.
• Good computer skills including a functional knowledge of Outlook, Word, and Excel.
• Ability to master proprietary software which may include on-line billing.
• Demonstrated effective communication skills and maintaining a cooperative working relationship with others in a culturally diverse environment.