Billing Specialist (55410)

POSITION SUMMARY:

The Billing Specialist is responsible for the accurate and timely processing of claims. Billing Specialist will maintain AR for assigned payers and report any ongoing issues to Billing Manager. Billing Specialist will be expected to reach out to payers when issues arise.

DUTIES AND RESPONSIBILITIES:

• Managing payer and patient accounts receivables
• Working correction tickets for billings before or after payment has been received
• Submitting claims electronically through Availity Revenue Cycle Management and other clearinghouses
• Submitting secondary claims through Availity Revenue Cycle Management and preparing and mailing paper claims
• Making corrections to claims that have been scrubbed for errors in Availity before submitting
• Working claim denials through CareLogic
• Calling payers to appeal denials and working closely with payer representatives to correct erroneous denials
• Answering client questions regarding account balances
• Data entry
• Other duties as assigned by the Revenue Cycle Manager or Billing Supervisor