Position Summary:
The Billing Specialist, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquires/correspondence. The incumbent will assist in the clarification and development of process improvements and inquires, assure payments related to patient services from all sources are timely recorded and reconciled in order to maximize revenues. Other important duties include credentialing, enrollment processing and reporting. The Billing Specialist is responsible for completing all duties as assigned.
Basic Qualifications:
Education:
• High School Diploma or GED equivalent required.
• Associate Degree in medical record technology, anatomy, and/or physiology preferred.
Experience:
• Minimum of three (3) years’ medical billing experience including knowledge of billing related reporting is required. This includes working with the medical payers including Medicare, Medicaid, and commercial insurance.
• Working knowledge of CPT and ICD-10 coding.