Billing Rep

Billing Specialist

Basic Function:
To accurately collect and input billing data into the computer system

Principal Accountabilities:

• Enter patient charges into the practice management system
• Ensure patient and insurance information accurately into the practice management system
• Verify and obtain insurance eligibilities for all patient visits
• Verify billing charges with the chart note to make sure all charges match the coding guidelines and all procedures are billed correctly
• Communicate questions in a task to providers regarding documentation and/or billing charges
• Print and work Open Encounter Report daily
• Work Credit Balance report and Aging reports
• Be able to provide estimates, predeterminations and/or outreach
• Complete and send out Medicaid threshold forms
• Must be able to use the CPT and/or CDT coding book
• Act as a backup for the Dental Billing or Billing Representative-payment poster
• Reconcile and close receipts and charges to daily journal, computer generated reports to ensure accuracy
• Assist in the training of Dental or Billing staff
• Assist management in compiling necessary information for audits, both internal and those required by outside entities.
• Other duties and responsibilities as may be requested by supervisor and/or management
• Cross training for posting explanation of benefits
• Post daily Time of Service, collection, slide, daily logs and/or incoming payments
• Contact insurance companies to follow up on delinquent claims
• Follow up on denied claims by sending claim status requests to appropriate insurance companies
• Process claims for service via websites of insurance companies.

* This position has the option to be hybrid, once training is completed.

Requirements:

• High school graduate or GED
• Must have the ability to maintain the knowledge of coding guidelines
• Verbal and written communication skills, office applications preferred
• Demonstrate proper judgment and decision making skills
• Comply with the organizations code of conduct, safety rules and adheres to all company policies
• Must be willing to and demonstrate the ability to cooperate, work, and communicate with coworkers, supervisors, and visitors to our facility in an ethical, effective and professional manner
• Must demonstrate computer proficiency with Microsoft Suite and the practice management system
• Must possess the ability to display compassion and work well in stressful situations
• Must be keenly aware of the importance of confidentiality in all aspects of the position
• Upgrade to a higher level from Billing Rep. to Specialist to Senior would depend on length of employment, current work performance, how many insurances one is taking on and accuracy in completing in a timely fashion