Billing Specialist

Job Description: Billing Specialist

Reports to: Senior Revenue Cycle Manager

Job Purpose:

We are a pediatric non-profit organization seeking a billing specialist to join our professional team.

The billing specialist will manage all matters and communications relative to insurance claims on behalf of Texas Hearing Institute.

• Hours Weekly: 40
• Monday – Friday: 8:00 am – 5:00 pm
• Starting Salary:
  Determined by experience.
• FLSA Status:
  Non-exempt

• Health & Dental Insurance
• Life Insurance
• Long Term Disability Insurance
• 403 (b) Retirement Plan
• 12 Paid Holidays
• 21 Paid Time Off Days

• Stays focused on maximizing revenue and reducing contractual allowances/discounts/MWS and other (grants) write offs at all times
• Files all THI claims.
• Files all THI appeals, and corrected claims, as needed
• Handles all communications with Insurance/Medicaid provider relations re: underpayments and/or denials through to final resolution
• Enters and posts all service-related (program) payments into
  
  IMS software
• Regularly reviews all client accounts and keeps them clean,including notifying clients of balances due, issuing check requests for refunds due, or making necessary adjusting entries.
• Assists Senior Revenue Cycle Manager in Accounts Receivable (A/R)
• Assists Senior Revenue Cycle Manager with awareness of insurance/Medicaid policy and/or contractual changes, and notifies management and/or program directors as changes occur
• Prepare and process insurance claims timely and accurately to government,commercial and managed care payers.
• Reviewand distribute corrected claims
• Resolve claim edits via claim edit work queues and/or our external billing software

• Acts as backup to THI Verification Specialist and Front Desk(Receptionist) in their absence and/or as needed

• Support co-workers and engage in positive interactions.
• Communicate professionally and timely with internal and external customers
• Demonstrate friendliness by smiling and makingeye contact when greeting all customers.
• Provide helpful assistance in anticipating and responding to the needs of our customers.
• Collaborate with customers in planning and decision making to result in optimal solutions.
• Ability to stay calm under pressure and deal effectively with difficult people

• High school diploma
• Must have three-plus years of claims (insurance billing) experience

• Knowledge and acquired usage of Microsoft standard programs; in particular, Microsoft Word and Excel
• Good communication skills,particularly with inter‑departmental communications

• Verbal and written communication skills
• Professional personal presentation
• Standard PC usage
• Office organization
• Reliability

• Internet- using the internet for filing claims, gathering information, andcommunicating
• Spreadsheets– knowledge and ability to create, modify, and electronically transmit
• Emailand fax machine knowledge and familiarity

• Desktop computers
• Laptop computers
• iPad
• Scanner
• Fax machine
• Copy Machine
• Postage Meter

• Internet
• Microsoft Word and Excel
• IMS(program software) – onsite training