JOB TITLE

INSURANCE

BILLING SPECIALIST REPORTS TO

BUSINESS

OFFICE MANAGER JOB SUMMARY / OVERVIEW

Interrelates with providers, insurance companies, other health care organizations, the public, and staff in relation to insurance, credentialing, invoicing, accounts payable accounts receivable, journal entries, and reconciliation.

PRIMARY DUTIES

Every effort has been made to include all duties; however, the omission of a specific statement of duties does not exclude the duty from the position if the work is similar, related or is a logical assignment of the position. Respond knowledgeably and courteously to inquiries from patients, providers, staff and insurance companies. Process insurance claims on a daily basis. Work promptly and efficiently so claims are paid timely. Post payments from insurance companies to proper patient accounts. Process refunds for insurance companies and patients as necessary. Follow up on, track, and investigate claim denials or claims not paid correctly for current and aged receivables. Keep abreast of all changes and billable charges within individual insurance companies. Creates, tracks, and collects all invoices for medical records, OSHA, OCM, ect. Performs miscellaneous job-related duties as assigned.

EDUCATION / QUALIFICATIONS

High school diploma or GED. Experience with medical insurance billing required Familiarity with ICD and CPT coding helpful. Knowledge of computer accounting programs, spreadsheets and applications. Knowledge of accounts receivable, basic accounting, and management principles.

EXPERIENCE / KNOWLEDGE / SKILLS

Knowledge of medical terminology, coding, and office procedures. Knowledge of third party and insurance procedures, regulations, and billing requirements. Ability to identify, solve problems and correct errors. Ability to interpret billing and claims reports. Ability to function independently in prioritizing and organizing daily work. Demonstrate attention to detail. Ability to speak, read, write and comprehend instructions in English.

Equal Opportunity Employer Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person