Job Details

Description

JOB TITLE: Billing Specialist II & III

DEPARTMENT: Business Office

GENERAL SUMMARY OF DUTIES: Responsible for filing and tracking insurance claims for the assigned alpha split. Follow Insurance and Patient Aging for complete resolution of accounts. Account follow up includes resolving disputes with insurance companies for corrected billing. Assist with posting payments and adjustment for the Explanation of Benefits (EOB).

SUPERVISON RECEIVED: Reports to Business Operations Director

SUPERVISION EXERCISED: None

TYPICAL PHYSICAL DEMANDS: Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Occasional stress from varying demands. Must be able to work independently. Must be able to lift/carry up to 25 pounds.

TYPICAL WORKING CONDITIONS: Work is performed in a busy office environment. Frequent contact with employees, patients, physicians and outside agencies. Occasional evening or weekend work.

ESSENTIAL FUNCTIONS:

1. Complete, thorough, and timely research and resolution of all aging, denied, rejected claims
2. Electronic and paper claim submission. Including all appropriate EOBs and required or supporting documentation.
3. Complete and thorough understanding of all EOBs, payer policies, AHVI polices and processes for proper responses to payer requests and denials, and patient inquiries
4. Complete understanding of and adherence to AHVI collections and financial assistance program policies and processes.
5. Professional and HIPAA compliant interactions with patients, insurance companies, Alaska Heart & Vascular Institute (AHVI) providers and staff, outside healthcare professionals and other agencies.

PAY RANGE:$23-33/HR dependent upon experience and education.

This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Qualifications

Education:Preferred: Some college or continuing education preferred.Minimum: High School diploma

Experience:Minimum: Two years of experience in medical billing office with emphasis on insurance research and claim follow-up

Certificate/License: Certified Professional Biller (CPB) or Certified Coder (CPC) from AAPC preferred