Billing Specialist Ii

Performs review, and correction of patient client insurance and charge information for assigned Healix managed sites to assure accuracy of charges. Posts charges in clinical billing software to assure timely transmission to the insurance billing department.

I.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Include the following. Other duties may be assigned.

Reviews charge records and related patient information from multiple systems on a daily basis for accuracy and completeness;

Maintains patient insurance and special pricing requests in the billing software;

Makes authorized revisions/corrections to charge data as necessary;

Notifies immediate supervisor and/or the clinical departments if unable to correct or resolve data errors that prevent accurate billing;

Responsible for data entry, charge review and posting of billed charges for assigned sites according to department policy; and assisting with nursing department data entry when requested to maintain timely client billing;

Prepares accounting period reports for review by management; and performs billing close functions as assigned.

II. CORE

DUTIES AND RESPONSIBILITIES:

Include the following basic performance factors all Healix, Inc. employees are expected to meet.

Communicates with clients and fellow employees through written and verbal forms, clearly and timely.

Interacts professionally with clients and fellow employees.

Cooperates with team members to accomplish departmental goals.

Accepts and incorporates changes or new ideas into daily work.

Provides service in a responsive, timely and accurate manner to both clients and fellow employees.

Understands and adheres to policies and procedures.

Arrives at work as scheduled and notifies supervisors in a timely manner of any absences.

Recognizes priorities and takes action; makes productive use of time.

Strives to resolve problems and conflicts on his/her own initiative.

Attempts to create new ideas or new procedures working as part of a group or individually.

As a part of your job you will receive protected health information. It is your duty to comply with HIPAA in using and disclosing that protected health information.

About UsHealix is the nation’s leader in providing physician office-based infusion services. Focused on patient and physician peace of mind for 35 years, we offer unparalleled capabilities for optimal patient care, comfort, compliance, and clinical outcomes in an outpatient setting.

At Healix, we manage Office Infusion Centers on behalf of physicians, hospitals, and medical institutions, encouraging in-office treatment for optimal patient care. Our company is headquartered in Sugar Land, Texas, a suburb of Houston, where we have helped establish and manage hundreds of infusion centers nationwide. We use our clinical and business expertise to provide integrated solutions to improve all aspects of the infusion program, all while delivering peace of mind to our clients and their patients.

Studies show that the physician office infusion center setting provides significant site of care benefits for patients, communities, and payors, including superior clinical outcomes and lower cost of care. Overall patient satisfaction at Healix-managed infusion centers soars, with 98% of patients rating their care as excellent. Our physician clients rely on Healix to handle all facets of infusion center operations, including drug purchasing, revenue cycle management, managed care programs, and clinical staffing.

As Healix continues to leverage unique industry expertise in management and service markets, we are dedicated to maintaining focus on patient and physician peace of mind.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.

CERTIFICATES, LICENSES, REGISTRATIONS This job does not require any certificates, licenses, or registrations.

OTHER

SKILLS AND ABILITIES

To perform this job successfully, an individual must be able to type at least 90 wpm and have personal computer experience.

IV. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an…