Billing Associate

Job Summary

The billing associate is responsible for submission of insurance claims to payer, posting payments, insurance follow-up, denials, patient AR and customer service calls. The revenue cycle specialist will ensure claims are processed accurately and in a timely manner.

Qualifications / Requirements

• 2-3 years of experience in medical billing

• Working knowledge of CPT and ICD-10 coding

• Experience with insurance claims follow-up and collections

• Proficiency in insurance and patient payment posting

• Strong verbal and written communication skills

• Proficient in Microsoft Word, Excel, and Outlook

• High school diploma or equivalent required

Essential Functions

• Resolve non-coding insurance/clearinghouse rejection, including other claims submission errors and rejections in a timely manner

• Enter and update patient information accurately within electronic medical Records (EMR), which includes verifying insurance information and accurately updating patient accounts

• Perform daily posting of insurance and patient payments

• Reconcile insurance payments to ensure accuracy and completeness

• Insurance follow-up for no response, denials and correspondence

• Answer and resolve incoming customer service calls from patients

• Update patient accounts for Sliding Fee Schedule adjustments

• Review and resolve insurance credit balances, including issuing refunds when appropriate

• Prepare and submit accurate billing to appropriate state Medicaid systems using electronic claim submissions when possible

• Demonstrate excellent customer service and professionalism when interacting with patients, providers, and payers

• Maintain strict adherence to HIPAA and patient privacy rights, accessing only the minimum necessary information to perform job responsibilities

• Ensure compliance with all federal, state, and payer-specific regulations related to billing and privacy

• Perform other duties as assigned

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.