Billing Specialist

JOB SUMMARY

Processes insurance; gathers charge information; completes billing process; files insurance claims; performs collection and follow up work.

• Generates and submits third party insurance claims and performs follow-up on previously submitted claims.
• Analyzes outstanding insurance balances; calls insurance companies to inquire on payment needs.
• Analyzes patient denials for possible re-submission and reports to Revenue Cycle Manager denial trends.
• Follow up on claims being processed.
• Post payments in accordance with EOBs received from insurance carriers.
• Assists providers with coding procedures to ensure correct billing.
• Researches all information needed to complete billing process including getting information from providers.
• Offer training and guidance to fellow employees as directed.
• Sliding Fee Discount monitoring and upkeep.
• Participates with other staff to follow up on accounts until no balance or turned over for collection.
• Assists with patient calls regarding billing questions.
• Assists with error resolution.
• Attends meetings as required.
• Follows all CHS policies, procedures, regulatory and legal requirements.