Claims Specialist – Billing, Patient Account Representative

Job Responsibilities

• Preparation of billing data to be used in the billing of payers
• Responsible for complying with contractual provisions with each agency regarding the submission of billing and encounter data, including the related monthly reports
• Submit invoices to appropriate parties
• Apply payments
• Collect on unpaid claims
• Prepare advance reconciliations and apply payments to the general ledger
• Enter information into computer databases for effective record keeping
• Collaborate with other staff members to optimize delivery of services
• Ensure all compliance standards are met for audit purposes
• Maintain confidentiality of records relating to clients
• Identify opportunities to improve processes
• Other duties as assigned

• High School Diploma / GED or 3 years of Relevant Equivalent Experience in Lieu of Diploma / GED
• 1-3+ year's experience in office, business, operations, customer service or healthcare field.
• Previous experience working in insurance portals
• PC skills in a Windows environment
• Knowledge and utilization of desktop applications to include Word and Excel is essential
• Ability to initiate and follow through on projects and work independently with minimal supervision
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology
• Able to work with numbers and apply basic math skills to daily tasks.