Billing Specialist

The Billing Specialist works the full revenue cycle, including but not limited to submission of claims, working rejected and denied claims, posting payments, performs AR follow up as well as answer calls from submitters.

• Receive and import weekly electronic client service data files from multiple locations
• Process claim submission files and submit to multiple payers and clearinghouses
• Upload and EDI 999, 277 and 835 files from multiple sources
• Work with providers to correct and resubmit rejected and denied claims
• Post payments manually when required
• Answer claims calls
• Accounts Receivable follow up
• Detailed claims research
• Other duties as assigned

• Strong organizational, quantitative skills and analytical skills
• Demonstrated accuracy with a strong attention to detail
• Excellent work ethic and ability to prioritize tasks
• Detailed and process improvement oriented
• Excellent problem solving skills
• Ability to present findings and discuss issues with providers effectively
• Ability to work independently and as a part of a team in a deliverable-focused professional environment
• Ability to shift focus as necessary when priorities change without losing sight of original assignments
• Experience in MS Office products, particularly excel

Required Experience:

• A High School degree is required
• An Associate’s degree is preferred
• 3 to 5 years of billing experience in the healthcare industry

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