Billing Specialist

Are you meticulous and adept with financial details? Join our vibrant healthcare team as a Billing Specialist! In this essential role, you will handle billing operations, ensuring the precision and timeliness of claims processing, addressing patient inquiries, and maintaining regulatory compliance. If you're eager to contribute to our financial practices and advance professionally, we encourage you to apply. Join us today to help optimize our financial processes and deliver exceptional patient care!

Classification: Full-Time, Non-Exempt

Reports to:  Billing Supervisor

Department: Billing

Summary/Objective

The Billing Specialist is crucial for the efficient management of billing operations within our healthcare facility. This role involves preparing and submitting billing data, maintaining patient insurance information, and ensuring timely payment of accounts. The Billing Specialist will work closely with healthcare providers and patients to clarify any discrepancies in billing, ensuring accuracy and compliance with healthcare regulations.

Essential Functions

1. Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
2. Follow up on unpaid claims within standard billing cycle timeframes.
3. Check each insurance payment for accuracy and compliance with contract discount.
4. Resolve denials, send out patient statements, and manage collections on unpaid accounts.
5. Maintain all patient payment records and conduct financial recordkeeping.
6. Communicate with insurance providers to verify benefits and obtain authorizations.
7. Handle patient inquiries regarding billing and resolve any issues promptly.
8. Occasionally cover other positions and responsibilities within the department.

Performance Factors

1. Attendance and Dependability: The employee can be depended on to report to work at the scheduled time and is seldom absent from work. Employees can be dependent upon to complete work in a timely, accurate, and thorough manner and are conscientious, about assignments.
2. Communication and Contact: The employee communicates effectively both verbally and in writing with superiors, colleagues, and individuals inside and outside the practice.
3. Relationships with Others: The employee works effectively and relates well with others Including superiors, colleagues, and individuals inside and outside the Company.
4. Attention to Detail: Maintains accurate records and notices discrepancies in billing data.

Qualifications

1. Must have computer skills and the ability to navigate the electronic health records system.
2. Strong ability to multi-task with high degree of accuracy, attention to detail a must.
3. Strong analytical and problem-solving skills
4. Superior verbal and written skills
5. Strong interpersonal skills essential
6. Concern for satisfied employees and customers; strong sense of mission
7. Education: High School diploma is required. Associate degree in accounting, finance, or related field preferred, or certificate in billing and coding.
8. Experience: Proven experience in vision billing or related field within a healthcare setting.
9. Proficient in billing software and electronic medical records.
10. Strong understanding of insurance policies, regulations, and the billing process.

This document in no way states or implies that these are the only duties to be performed by the employee occupying this position.

Supervisory Responsibility

Work Environment

This job operates in a clinical setting within a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers, scanners and filing cabinets.

The work week: Monday through Friday, 40 hours a week. 

Travel: Rare

Additional Expectations

As with all employees, this role is to be a part of the team, which means there is a standing expectation of willingness to accept other duties as assigned to support the team and the overall growth and health of the practice.