BILLING SPECIALIST AGENT

DescriptionThe Billing Specialist Agent is responsible for managing the financial aspects of patient care, including insurance claims, patient billing, payment processing and claims submission. The Billing Specialist Agent will ensure accurate and timely billing, follow up on unpaid claims and outstanding patient balances.Responsibilities/DutiesPreparing and submitting claims to insurance companies Receive and process payments from insurance companies and patients including posting payments and reconciling accountsInvestigating and resolving denied or unpaid claims and resubmitting claims when necessaryAnswering patient billing questions, explaining invoices and assisting with payment plansUtilize the EMR systems and billing systems to manage patient information, insurance denials and billing recordsBe in compliance with HIPAA regulations and billing laws and guidelinesDocument and maintain records on each open claim. Perform necessary follow-up to ensure proper payment is received.Identify and resolve billing issues.Follow-up on report status of past insurance and patient accountsPerform various collection actions including contacting patient by phone, correcting and resubmitting claims.Work daily insurance correspondence as needed.Answer questions from patients, co-workers, and insurance companies.Work Hold Buckets Any other duties as assigned.Job SpecificationsMust be able to provide professional, responsive, and positive customer service. Must be able to verify insurance eligibility for Psychiatry, Neurology and Primary Care Providers.Ability to sit for long periods of time working at a desk and accessing a variety of systems.Accuracy with attention to detail.Ability to manage time and meet goals and deadlines.Ability to work both independently and/or as part of a team in a fast-paced environment.Strong analytical and problem-solving skills.Well organized; ability to prioritize multiple projects and deadlines and be able to multi-task.Ability to work under pressure.Good customer service skills including sound sensitivity judgement and courteous phone manner.High energy: productive work habits, flexible and adaptable to change.Experience with computer programsRequirementsHigh School or equivalent2 – 4 years’ experience obtaining insurance verification and authorizations2 – 4 years’ experience with medical accounts receivable Knowledge of medical coding and claims