Billing Specialist

PRIMARY PURPOSE

To provide monitoring payment for a mix of standard and complex outstanding receivable bills.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Contacts broker/account on payment discrepancies and unpaid bills to resolve outstanding receivables in a timely fashion.
• Processes and corrects external entries.
• Researches payment deficiencies and reconciles outstanding invoices; disburses overpayments on true-up invoices.
• Independently reviews and interprets sold documentation and completes Billing set-up.
• Processes manual billing and seeks alternatives to automate manual tasks.
• Prepares monthly updates for management reports.
• Maintains appropriate file documentation and system diary notes.
• Processes disbursements and corrections on true-ups.
• Collaborates on correction activities and follows through to resolution.
• Completes task book assignments.
• Identifies customer needs and acts on them.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES

• Supports the organization's quality program(s).

QUALIFICATIONS

• Education & Licensing: High school diploma or GED required. Two (2) years of accounting, bookkeeping or insurance related billing experience required. Clerical or customer service experience preferred.
• Skills & Knowledge: Expert knowledge of billing systems, data flows for medical bill review and other charge-to file processes, insurance programs, claims, and implications to outstanding receivables, loss processing flows and claim based processing flows, excellent oral and written communication, including presentation skills, PC literate, including Microsoft Office products, strong organizational skills, ability to work in a team environment, ability to meet or exceed Performance Competencies.

WORK ENVIRONMENT

• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
• Physical: Computer keyboarding, travel as required.
• Auditory/Visual: Hearing, vision and talking.