Billing Specialist

About the role

The Billing Specialist will be responsible for obtaining necessary patient information to submit on medical claims sent to insurance plans. They will make phone calls to insurance plans and facilities, accurately record information obtained in patient files, and submit claims and appeals to insurance on behalf of patients.

Responsibilities

• Work as part of a dynamic and growing reimbursement team to prepare and send medical claims to insurance companies
• Follow up on and manage through the billing cycle and payment resolution
• Learn billing software and process flows
• Adhere to process flows and Standard Operating Procedures
• Make productive calls to insurance plans to obtain information and claim/appeal status
• Accurate recording of information in patient file
• Submission of claims and appeals to insurance companies when needed
• Communicate with and answer patient billing questions and concerns
• Work collaboratively with internal departments

Requirements

• Strong communication skills—both oral and written (over the phone and in-person)
• Computational and basic math skills
• Organized with strong attention to detail
• Ability to adapt to emerging situations and respond with a sense of urgency
• Handle confidential financial and personal information appropriately
• Communicate and coordinate with internal departments

Qualifications

• High School Diploma required
• Minimum 1 Year of Medical Billing experience required, including knowledge of claims processing, denials, and appeals
• 1-3 Years of Medical/Laboratory experience preferred
• Undergraduate degree preferred
• Bilingual, a plus