Billing Specialist

Billing Specialist

The Billing Specialist is responsible for Accounts Receivable Management, working all denied claims, seeks full payment from the specific insurance carriers they are responsible for.डीस in addition, prepares appeals for incomplete or non‑payments with proper documentationimach, while researching, analyzing and reconciling billing עבור and reimbursement practices.

• Work in our practice management system Collection Module and/or Aging Reports to identify aged/denied claims and pull necessary information to investigate claims.
• Actively follow up on outstanding claim balances by checking claims on the carrier’s website or by calling the insurance companies and other payers as needed.
• Prepare appeals paperwork for all payers by gathering supporting documentation as needed.
• Recognize and appropriately report problems or negative patterns in support of maximization of billing and collections.
• Work claims hitting edits in Tri Zetto Provider Solutions (Clearinghouse).
• Avoid and/or resolve errors which may lead to undo write-offs or insurance rejections.
• Identify accounts requiring charge or payment corrections.
• Credential new physicians, nurse practitioners, audiologists, and SLPs for the insurance carriers they are responsible for.
• Run collection reports per physician, call to collect outstanding balance prior to the next visit, or communicate to scheduler to cancel an appointment.
• Respond to emails from the Patient Services team regarding patients in collections, then call the patient to collect outstanding balance.
• Phone work as scheduled to include incoming calls requesting account information and making outgoing calls for account investigation.
• Review weekly statements, sending letters or emails to patients to collect paymentими prior to sending to collections.
• Provide backup phone coverage and other office responsibilities as a member of the Billing Team.
• Handle other duties and special projects as assigned.

• Education: High school diploma or equivalent.
• Experience: Minimum 3-5 years medical billing experience.
• Knowledge and
  
  Skills:
  
  
  • Proficiency in using computers and ability to learn various software.
  • Superior organizational and problem‑solving skills, and attention to detail.
  • Familiarity with medical billing systems, ICD-10, CPT, medical coding, and basic medical terminology.
  • Ability to work well in a team environment.
  • Strong communication (verbal and written) skills.

Seniority level: Mid‑Senior level

Employment type: Full‑time

Job function: Accounting/Auditing and Finance

Industries: Medical Practices

Location: Dayton, OH

Salary: $62,050.00 – $