Billing Specialist

Posting Date: 01/29/2019
Closing Date: 03/15/2019
Posting Level: Mid-Level

The Billing Specialist is responsible for submitting patient bills to appropriate payers and performing efficient follow up on open accounts in a timely and accurate manner. Responsible for timely claims submission and follow up. Reconcile claims to ensure appropriate adjudication. The Billing Specialist must be able to respond knowledgeably to a wide range of complex denial issues when dealing with insurance companies.

- Follow Electromed mission and core values, while striving to achieve company goals.
- Understand and adhere to local State and Federal healthcare regulatory and compliance rules.
- Review billing files for appropriate modifiers, diagnosis codes, patient demographic information and insurance prior to submission.
- Utilizes multiple electronic billing, medical retrieval systems, and payer websites to resolve insurance denials and patient issues.
- Communicate effectively with internal customers, including Reimbursement and Accounting Departments.
- Ensure claims are processed and followed up in a timely manner to meet accounts receivables aging and cash receipt goals.
- Coordinate and maintain patient billing statements.
- Complete payment reconciliation according to contracted payer fee schedules.
- Work to achieve monthly team goals.
- Educate patients on complex billing situations.
- Accurately record information to internal Patient Database.
- Complete other miscellaneous tasks as needed to help support the reimbursement team.
- High attention to detail and accuracy with the ability to handle multiple priorities.
- Self-starter, motivated.
- Ability to be tenacious, but professional when working with various payers.
- Ability to work independently and as a contributing team member.
- Knowledgeable of insurance requirements and have the ability to determine medical justification to ensure proper reimbursement.
- Excellent written and verbal communication skills.
- Demonstrated exceptional customer service skills.
- Ability to prioritize and organize.
- Strong analytical and problem-solving skills.

- Two years post secondary or equivalent work experience.
- Two years of insurance billing/reimbursement experience.
- Experience with third party and government payers.
- Proficiency in Microsoft Office programs: Outlook, Excel, Word.
- Experience with insurance claim software.

- Experience with professional claim submission.
- Experience with Zirmed/Waystar.
- DME billing.

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