This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

The Billing Specialist II – RCM utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping to perform a variety of revenue cycle support activities.

• Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information, handling carrier correspondence, managing EOBs, and keying payments received into the system.
• Prepares, reviews, submits, and follows up with clean claims to various companies/individuals.
• Collects, posts, and manages patient account payments.
• Investigates rejected claims to see why denials were issued and correct claims.
• Facilitates swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances as directed by the supervisor.
• Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completes action steps as necessary.
• Follows HIPAA guidelines when accessing and sharing patient information.
• Maintains patient and business confidentiality.
• Provides timely and professional customer service, verifies discrepancies by resolving patient billing issues, and answers questions from patients, facility staff, and third-party vendors.
• Supports additional coding, billing, and practice management projects as needed.
• All other duties as assigned.

Qualifications

• High school graduate or equivalent.
• Minimum three years of billing experience.
• Minimum one year of Healthcare experience preferred.
• Knowledge of revenue cycle processes, medical insurance, and general accounting principles.
• High degree of accuracy and attention to detail.
• Ability to manage multiple tasks/projects and deadlines simultaneously and to identify and resolve exceptions and interpret data; proficient in data entry.
• Excellent communication skills, both verbal and written.
• Proficient computer skills, including Microsoft Office applications.

Requirements

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

Benefits

• The base pay estimate for this role is $16.49 - $26.39 hourly.
• This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.