Billing Specialist

General Summary Position is responsible for preparing services

rendered by medical, dental, and mobile clinics for billing multiple entities via electronic

or paper claims. Reviews and resolves current electronic rejected/invalid submissions

for correction. Post adjustment timely and accurately from insurance and

self-pay. Submit all claims to appropriate secondary carrier.

Essential Job Responsibilities:

Prepares and submits clean claims to various insurance companies (both medical and dental) either electronicallyor by paper;

Answers questions from patients and insurance companies;

Helps prepare, review and send patient statements;

Follows and reports status of delinquent accounts;

Makes recommendations to A/R Specialist for delinquent accounts for write offs;

Performs various collection actions correcting and resubmitting claims to third party payers;

Investigates and corrects rejected claims as requested by A/R Specialist;

Helps with billing for Show Me Healthy Women/WISE programs;

Refer patients to A/R Specialist for payment plans;

Helps with Monthly reports;

Helps with training of front desk staff to reduce errors/denials;

Helps with Financial audit;

Helps with credentialing of providers;

Other duties as assigned;

Skills

Excellent knowledge of medical/dental billing practices

Highly Organized

Responsible

Responds to customer service calls in a professional manner

Attention to detail

Ability to maintain strict confidentiality and adhere to all HIPAA guidelines

Knowledge of Microsoft Office Products