Billing Specialist

POSITION SUMMARY: The Billing Specialist is responsible for preparing, submitting, and following up on all assigned insurance claims to ensure timely reimbursement. This role also assists patients with billing inquiries, payment arrangements, and account resolution, while maintaining compliance with all regulatory and confidentiality requirements.

KEY RESPONSIBILITIES:

• Prepare, submit, and track electronic and manual insurance claims; verify accuracy and correct any errors or rejections.
• Review daily and monthly reports, including aging and past-due accounts, to ensure prompt follow-up.
• Process claims denials and appeals; coordinate with patients, providers, and insurance companies to resolve issues.
• File secondary insurance claims and generate patient statements as needed.
• Document all account activity with clear and concise ledger notes
• Respond to patient phone calls and insurance inquiries in a professional and timely manner.
• Establish payment plans, cost estimates, and payment agreements in accordance with office policies.
• Determine write-offs following established guidelines.
• Post payments when needed.
• Serve as backup for daily electronic claims submission.
• Perform additional duties as assigned.