BILLING SPECIALIST
Job Details
Goodell - Buffalo, NY
Job Description

Reports to: Billing Manager

Position Summary: The billing specialist is responsible for accurately entering physician charges in the billing system. He/she will post payments to patient accounts, conduct follow up activities, assist patients with questions, and perform other related business tasks as assigned.

Essential Functions:

  • Accurately enter billing sheets in system for timely billing and revenue recognition
  • Assign appropriate ICD9-10 codes to billing, as well as appropriate modifiers
  • Obtain, verify and update demographic information for billing
  • Follow up on denied, underpaid, adjudicated and un-adjudicated claims
  • Identify and report payer trends related to inappropriate reimbursement, denials, and untimely adjudication to the billing manager
  • Process overpayments and refunds in a timely fashion
  • Maintain confidentiality of billing information in accordance with HIPAA guidelines
  • Effectively communicate with patients in regard to patient inquiries and past due balances
  • Maintain posting spreadsheets
  • Work closely with front office staff regarding outstanding balances of current patients
  • Keep manager informed of any major problems affecting billing

Other Functions:

  • Provide cross-coverage for billing and follow up/collections specialist within the department, when deemed necessary
  • Perform special projects and other duties as assigned by the billing manager or director of revenue cycle administration
  • Temporarily provide support to some operational duties such as authorizations, etc…
Job Qualifications

Education: H.S. diploma or equivalent required. Medical billing coursework preferred.

Experience/Qualifications: Minimum of 2 years of billing/ collections experience required. Physician billing experience preferred, mainly in surgical, obstetrics, and gynecology. Knowledge of insurance and healthcare terminology preferred.

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