Billing Specialist

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LECOM Medical Center and Behavioral Health Pavilion, an EEOC Employer is looking to add a Billing Specialist to our Team. Summary Self-starter; excellent time manager, and highly organized team focused individual with the ability to follow direction with minimal oversight, solve problems and communicate effectively with both internal and external customers and insurance payers within tight deadlines.

Duties And Responsibilities

• Prepare, review, and transmit facility and professional claims using billing software and clearinghouse, including electronic and paper claim processing within payer filing limits.
• Ensure rejected claims are reviewed, corrected, and reprocessed timely.
• Follow up on unpaid claims and contact payers on various issues within standard billing cycle timeframe.
• Review payments for accuracy; be able to spot check for 100% reimbursement on charges, and excessively low payment.
• Identify and bill secondary or tertiary insurance payers as appropriate.
• Answers all patients, providers, or insurance telephone inquiries pertaining to assigned accounts and work to resolve them effectively.
• Timely follow up on insurance claim denials, exceptions or exclusions.
• Stays informed on local regulations and changes in billing requirements.
• Make necessary arrangements for medical record requests, completion of additional information requests, appeals, etc. as requested by insurance companies.
• Regularly meet with Patient Accounting Leader to discuss and resolve reimbursement issues or billing obstacles.
• Regularly attend department huddles and meetings.
• Perform additional duties as requested.

Minimum Education Minimum of associate degree required.

Minimum Experience Minimum of one to three years of experience in medical or hospital billing, hospital billing preferred.

Minimum Skills

• Demonstrate reliability and a sense of urgency in completing tasks quickly and in a timely manner.
• Excellent customer service skills. Conceptual understanding of financial record keeping and medical billing procedures.
• Competent use of computer systems, software (including Microsoft Office), and 10 key calculators.