Hospital Billing Specialist

RESPONSIBILITIES

1. Collects patient documentation and charts for claim submission.
2. Ensures claim forms are completely and accurately filled out.
3. Updates and maintains patient billing data and ensures documents are current.
4. Reviews patient charts for completeness.
5. Contacts clinical staff for clarification on procedures or diagnosis and on missing information.
6. Enters charges, processes, and submits insurance claims to third party payer.
7. Completes data entry of the charges into Practice Management System.
8. Completes review of interface transactions and resolution of TES edits.
9. Verifies that initial claim is accepted by third party payers.
10. Reviews reports for claim denials.
11. Identifies and reports any payer trends, denial patterns, and delays to management.
12. Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient's records and collections.

MUST HAVE 2 years in medical billing.

BENEFITS

• Paid federal holidays in addition to PTO plan
• Medical, Dental, Vision insurance
• No weekends or major holidays.
• 401k with employer match
• Monday-Friday 8-5. No evenings.