Under the supervision of the Billing Manager, the role of the Billing Specialist duties includes but not limited to filing insurance claims with federal agencies and third parties within a timely manner. Review of failed, billed and rejected claims within the billing software. Responsible to work late charges and rebills daily. This is a remote position requiring high speed internet. This position requires that you reside in Texas and are in the Central Standard Time Zone.
Essential Functions of Billing Specialist
Submit clean claims for multiple services: Inpatient hospital, outpatient hospital, Rural Health Clinic, Physician Clinic claims, etc.
Accurate completion of UB04 and or 1500 claim forms/required fields specific to all Insurance payers
Resolves daily billed claims edits and rejections, with a target of clean claim rate of 95% or greater
Resolution of client electronic billing system, clearinghouse and payer acceptance and rejection reports
Resolve claims on hold/error/rejected within 24 hours to ensure claims are processed and paid within a timely manner.
Ability to identify and resolve recurring claim delays: Facility registration demographics profile, eligibility and insurance plan assignments, authorization and or referrals, medical necessity and or ABN, charge entry and coding claim edits.
Ability and knowledge to ensure billing compliance, billing rules and regulations
Process claims to the next payer after the primary has paid, balance billing claims to secondary and tertiary payers
Experience Required for Billing Specialist
Three years hospital/physician billing, hospital business office and/or health insurance accounts receivable collections experience
Expertise in Medicare, Medicaid, Workers Comp and all other commercial insurances
Skills Required
Ability to utilize multiple patient accounting and billing applications but not limited to FISS/DDE, claims clearing house systems, payer systems, etc.
Must have PC basic skills and basic skills on MS Excel, Word, and Outlook (Microsoft office products)
Ability to read, understand, interpret, and resolve payer denials
Ability to research payer regulations and determine appropriate collection action
Working knowledge of medical terminology
Ability to express ideas effectively using oral and written communication
Ability to apply time management and organization skills to achieve goals
Excellent customer service skills to internal and external clients
Skills Preferred
SSI, Trubridge Cerner, Meditech, CPSI
Education Required
High school diploma or equivalent
Job Type
Full time
M-F, 40 hours per week
Benefits
Competitive hourly wage
Monthly incentives
Flex schedule (Monday - Thursday 7:30 am - 5 pm; Friday 7:30 am - 11:30 pm)
Health, dental and vision insurance
401K and profit sharing
Paid time off and paid extended sick leave
Paid holidays
Job Type: Full-time
Job Type: Full-time
Pay: $19.00 - $23.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work setting:
Application Question(s):
- Do you live in the state of Texas, in Central Standard Time Zone?
Experience:
- Billing for a Hospital: 3 years (Required)
Location:
Work Location: Remote