Job Description
GENERAL DESCRIPTION:
The Billing Specialist I is responsible for resolution of claims errors and/or denials on her assigned inventory to facilitate meeting department and company financial goals. The Billing Specialist I will use proven problem solving skills to resolve claims issues of standard or routine nature.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Completion of daily and month-end tasks
- Provide required status reports, to include Excel pivot tables where applicable, on weekly and/or monthly basis
- Research and follow up on unresolved payment issues
- Resolve denial letters
- Research, review and communicate with insurance carriers regarding open accounts receivable
- Submit electronic and paper claims to insurance carriers
- Prepare and submit appeals
- Ensure completion and recording of documentation
- Timely management of unpaid claims
- Meet daily and monthly departmental productivity goals set forth by management to ensure the company is achieving its financial goals
- Notify management of trends identified, as needed and at month-end
- Correct claim errors and coordinate, monitor and manage the follow-up on unpaid claims in a timely manner
- Responsible for protection, security, and proper handling of all PHI
- Perform other duties as assigned