Billing Specialist I

A Medical Biller, or Insurance Billing Specialist, is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include entering patient data into administrative systems, recording information about outstanding claims, and reporting on productivity and essential information.

Essential Function

• Validating Sales order information for accuracy prior to transmission
• Reviewing paperwork before transmission
• Validating paperwork has all compliance needs met
• Transmitting claims to appropriate payors.
• Working with payors to correct issues and maximize payment according to contracted rates.
• Maintaining certification and credentialing through continuing education

Competencies

• Must have verbal communication skills and hearing ability to discuss billing with affected parties.
• Proficient in Microsoft Office Suite specifically excel and word.
• Excellent written and verbal communication skills
• Problem Solving and Organizational abilities
• Ability to work independently.
• Ability to work in a fast-paced environment.
• Ability to multitask, prioritize, and work efficiently.
• Excellent research, analytical and problem resolution skills.
• Ability to navigate various applications for billing claim management.
• Confidently navigate internet-based programs
• Basic accounting practices and account management
• Experience with billing software preferred.
• Prior insurance verification experience preferred.
• Proven experience as billing specialist
• Adherence to laws and best practices when dealing with customers and data.
• Comfortable dealing with numbers and the processing of financial information

Supervisory Responsibility

This position has no supervisory responsibilities.

Education and Experience:

• Two years of experience in clerical/office support work and/or education at the high school or post-high school level in English, spelling, keyboarding, computers, business, or office practices.
• Certification in Medical Billing.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.