BILLING SPECIALIST (12777)

## Description

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| Job Summary: | | | Rating: |

| ▪ | Completes accurate patient registration and charge entry. | | |

| ▪ | Performs patient billing and insurance claims filing. | | |

| ▪ | Accepts and posts payments to accounts. | | |

| ▪ | Resolves patient and insurance credit balances as assigned. | | |

| ▪ | Receives walk in customers and answers phone promptly. | | |

| ▪ | Works aged insurance claims to obtain reimbursement. | | |

| ▪ | Submits payer appeals as necessary and completes follow-up for final resolution. | | |

| ▪ | Pulls records for medical review/subpoena per policy. | | |

| ▪ | Files and retrieves paper and electronic claims and remittance advice reports. | | |

| ▪ | Works claim denials to ensure maximum reimbursement for services provided. | | |

| ▪ | Enters accurate and thorough documentation of pertinent events regarding the handling of the account including research of prior accounts. | | |

| ▪ | Demonstrates and encourages team behavior and exceptional patient/guest experiences. | | |

| ▪ | Upholds and promotes patient safety and quality. | | |

## Qualifications

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| Minimum Knowledge, Skills, Experience Required | | | | |

| Education: | | | | |

| High School Diploma or equivalent. | | | | |

| Experience: | | | | |

| One year working in Medical Billing. | | | | |

| Additional Skills / Abilities: | | | | |

| Must be self-directed / self-motivated; must have good communication and interpersonal skills. Must be able to: (1) perform a variety of duties often changing from one task to another of a different nature without loss of efficiency or composure; (2) work independently; (3) recognize the rights and responsibilities of patient confidentiality; (4) relate to others in a manner which creates a sense of teamwork and cooperation; and (5) maintain a customer focus and strive to satisfy the customer's perceived need. | | | | |