About the Role
I. Nature of Position: The billing specialist will be responsible for working with the team to ensure that claims are processed promptly and efficiently.
II. Responsible to: Revenue Cycle Manager
III. Responsibilities:
Data Management Specialist
Checking eligibility and benefits verification for office procedures.
I'm looking over the patient bills for accuracy and completeness, and obtaining any missing information.
Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
Encounter Review of charts to ensure codes/charges are accurate.
Working daily schedules from offices to ensure all charges are captured.
Following up on unpaid claims within the standard billing cycle timeframe.
Checking each insurance payment for accuracy and compliance with contract discount.
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances.
Reviewing accounts for insurance of patient follow-up.
Claim Denial Management: refiling, researching, and appealing denied claims.
Answer all patient or insurance telephone questions about assigned accounts.
Setting up patient payment plans and work collection accounts.
Updating cash spreadsheets, and running collection reports.
Posting all insurance payments received, as assigned.
Working with sites to ensure that payments are posted daily and information is accurate
Daily posting and balancing, as assigned
Auditing Sliding Fee Scale (SFS) applications for all medical sites. Ensures applications are complete and the front desk staff has collected proper documentation.
Become an SFS subject matter expert to handle all SFS questions/issues.
Ensures SFS is properly entered into eCW
Works with Site Leads on any errors identified
Follow up on errors to make sure corrections have been made
Works with the Billing Team to ensure claims have slid correctly after corrections are made
Assist the Billing Team with special projects as needed
Once SFS claims are caught up, assist the front desk with identifying patients with expiring slides.
Other duties as assigned
Requirements
A. High school diploma or GED; Coding/Billing certificate a plus.
B. Two years of medical office experience, billing experience a plus.
C. Competent with computers including experience in Microsoft Windows/Office programs, specifically
Microsoft Word and Excel.
D. Excellent customer service to both internal and external customers
E. Willingness to work cooperatively in a team setting
F. Ability to demonstrate accuracy and thoroughness ensuring the highest possible quality.
G. Ability to maintain a strong work ethic without direct supervision at all times
H. Effective oral and written communication
I. Ability to make timely, informed decisions that consider the facts, goals, constraints, and risks related to
all aspects of the organization
J. eClinicalworks knowledge is strongly preferred.
About the Company
HCCH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HCCH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
HCCH conducts background checks on all final candidates. Employment is contingent upon a clear background check or approval of the CEO