Billing Specialist
Description
Billing Specialist
JOB CATEGORY |Administrative
POSITION TYPE |Full-Time
FLSA | Non-Exempt
RISK EXPOSURE| Low
IMMEDIATE SUPERVISOR |Director of Billing
POSITION FUNCTION/OVERVIEW:
Enter all patient demographics into the billing software. Entering and submitting Billable claims to insurance companies, cross checking in Medical EMR to ensure authorization is on file prior to submitting claims. Verifying client policy is active via portal during the billing process before submitting claims. Filing corrected claims and fixing all rejected claims. Updating Action list for all UR issues while billing.
PRIMARY DUTIES/RESPONSIBILITIES:
• Promote the mission, values, and vision of the organization.
• Provide excellent customer service for clients; practices confidentiality and privacy protocols in accordance with HIPAA requirements.
• Research plans and provides the Utilization Review team with information about pre-certification, and policy details.
• Work with Utilization Review Specialists to achieve the highest levels of care for the client.
• Ensure all required insurance standards and regulations are met.
• Performs other duties as required.