Job Description

GENERAL DESCRIPTION:

The Billing Specialist II is responsible for resolution of claims errors and/or denials on her assigned inventory to facilitate meeting department and company financial goals. The BS II will use proven problem solving skills to resolve claims issues of a moderately complex nature.  

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

• Completion of daily and month-end tasks
• Provide required status reports, to include Excel pivot tables, 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
• Responsible for protection, security, and proper handling of all PHI
• Perform other duties and special projects as assigned

Qualifications

• High school education, some college preferred.
• 6+ years' experience and proven proficiency in medical billing.
• Basic understanding of medical billing concepts.
• Knowledge of Medicare, Medicaid and commercial insurance.
• Knowledge of medical terminology.
• Familiarity with HIPAA privacy requirements.
• Proficient in the use of computers and common office equipment.
• Must be energetic, dependable with good attendance and have excellent customer service skills.
• Strong written and verbal communication skills.
• Strong interpersonal skills.
• Ability to handle multiple priorities and meet deadlines.
• Ability to work independently as well as with a team in a fast-paced environment.
• Proven teaming abilities.
• Strong proficiency with Microsoft Excel and Outlook as well as the ability to learn new applications quickly.
• Strong attention to detail, accuracy and time management.
• Ability to demonstrate self-motivation and ownership of assigned work.
• Proven problem solving skills, along with an ability to quickly comprehend and analyze data.

Additional Information

All your information will be kept confidential according to EEO guidelines.