Job Opportunities

The Billing Specialist performs the following duties as assigned.

• Ensure all encounters are accounted for.

• Review each encounter for accuracy.

• Apply appropriate CPT & ICD-10 codes to encounter.

• Review each patient account prior to input to ensure that patient account represents accurate payer source.

• Answer patients’ questions concerning billing & corrects billing as needed.

• Perform demographic data entry when possible.

• Respond to patient telephone calls regarding account balances.

• Research aging analysis report to determine if unpaid claims must be re-filed or adjusted.

• Take necessary steps to ensure collection on unpaid claims. (Re-file, appeal, make corrections, etc.).

• Conduct collection activities from patients, carriers or recommends account balance write off.

• Immediately research correspondence from carriers requesting a refund and provides information to Accounting Manager.

• Process refund to carriers after obtaining approval and instructions from Accounting Manager.

• Review Daily Deposit to ensure accuracy and makes necessary corrections to logs.

• Apply all payments received by mail to appropriate patient accounts.

• Demonstrate flexibility, enthusiasm and willingness to cooperate while working with others in assigned inter-professional care teams to support PCMH programmatic activities.

• Participate in population management activities, as directed.

• Assist the care team by helping to measure quality and identify, refine and implement practice improvements that support the medical home, and assist in performance evaluation and quality improvement.

• Apply the principles of comprehensive, community-based, patient-centered, developmentally appropriate, and culturally and linguistically sensitive care.

• Perform all other related duties as assigned.