SummaryThe Billing Specialist is responsible for tasks within the billing process for multiple locations and payers. The duties include but are not limited to billing claims, working accounts receivable, posting payments, and ensuring patient statements are processed accurately and timely.
Essential Functions- Review and prepare claims for accuracy and proper documentation.
- Process claims through electronic transmission or paper submission to Primary, secondary and Tertiary Payers for multiple Patient Care locations.
- Download electronic remits from clearinghouses.
- Accurately post/reconcile AR payments and adjustments within the billing systems.
- Process monthly patient statements.
- Monitor and actively work open/aging AR to ensure timely collections.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Organize and maintain Payer Remits
- Review and balance daily billing batches prior to close.
- Process bank deposits (hard copy Payer checks, patient payments from various patient care locations) organize and maintain records.
- Work to accurately state contractual allowances through loaded fee schedules.
- Answer patient questions on patient responsible portions, copays, deductibles, write-off's, etc. Resolves patient complaints or explains why certain services are not covered.
- Follows HIPAA guidelines in handling patient information
- Perform other duties as assigned.
Competencies- Ethical Conduct
- Problem Solving/Analysis
- Communication Proficiency
- Computer Proficiency
- Detailed oriented
Work EnvironmentThis job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, fax machines. Will work on-site in Clinic environments occasionally.
Physical DemandsThe employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to handle or feel; and reach/pull with hands and arms, bend and squat.
Qualifications- High school diploma or GED equivalent
- One to three years of experience in billing, collections an account reconciliation
- One to three years of experience working in the healthcare field
- Excellent knowledge of MS Office
- Solid understanding of HIPAA privacy requirements for patient information.
Embla Medical is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available individual in every job.Embla Medical's equal opportunity policy prohibits all discrimination (based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical disability, mental disability, military service, pregnancy, child birth or related medical condition, actual or perceived sexual orientation, or any other consideration made unlawful by local laws around the world).Embla Medical is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all individuals involved in the operations of Embla Medical and prohibits discrimination by any employee of Embla Medical, including supervisors and co-workers.
Important Warning: Beware of fraudulent recruiters impersonating our company. Please take extra caution when asked for any sensitive personal information, such as social security numbers or bank account details. We will never ask you for any form of payment during the recruitment process. Please make sure you refer to our official website.