Billing Specialist

Corry Memorial Hospital is seeking an energetic billing specialist to join our growing, community involved team of customer service professionals.

Job summary:

To perform services necessary to complete efficient and accurate insurance processing for all patients in compliance with LECOM Health Corry Memorial Hospital policies and procedures.

• Answer telephones and provide patient support regarding questions about patient balances.
• Understand and complete the step-by-step transaction processes in the billing system.
• Responsible for processing and following up on unpaid/denied claims until paid or written off appropriately.
• Responsible for a portion of the A/R which requires phone contact with insurance companies and investigation of review letters.
• Responsible for maintaining a follow up file on unpaid claims and following through until the accounts reach zero. Review files consistently for payment or non-payment.
• Responsible for investigating and evaluating recurring denial issues and reporting them to manager.
• May be responsible for coverage and support of managing collections of overdue personal balances.
• Responsible for handling appeals on claims.
• Compile information for manager to review for final evaluations prior to write off.
• Responsible for reviewing patient statements if patient has questions.
• Responsible for reviewing procedures and/or office visits to verify accuracy.
• Accurately processes the charges in the computer system and balances at end of the day.
• Prepares and sends electronic and paper claims to insurance companies.
• Assists in posting payments.
• Substitutes Receptionist position as necessary.
• Upload to Medical Record System as necessary.
• Assist with other tasks as assigned by manager.

LECOM’s full-time employees enjoy the availability of an industry leading benefits package along with competitive wages. Enhanced benefits include Highmark Blue Cross / Blue Shield Health Insurance starting at only $100 a month! Life insurance and AD&D Insurance is provided to all full-time employees at no cost. The health system also offers an excellent 403(b) retirement plan to qualified employees.