Billing Specialist at ABHS

Marlton, New Jersey, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Mar, 26

Salary

0.0

Posted On

12 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing, Coding, Insurance Claims, Customer Service, Communication, Organization, Problem Solving, Adaptability, Teamwork, Decision Making, Dependability, Ethics, Interpersonal Skills, Self-Development, Conflict Management, Productivity

Industry

Non-profit Organizations

Description

General Description The Billing Specialist is responsible for providing support to the Revenue Cycle Department. This position manages a very high volume of claims and must work quickly and efficiently to manage the consistent flow of work. Tasks & Responsibilities * A. Essential Duties * Generates insurance claims and collects outstanding insurance balances. * Submits appeals and reconsiderations to insurance companies. * Makes follow-up calls to the insurance companies on accounts with outstanding balances. * Maintains standards to ensure systematic, consistent, and timely collection follow-up. * If claims are denied by the third-party payer, the medical billing specialist must investigate the claim, verify its information, and update the database. * Ensure medical records needed for billing purposes are in client’s charts and/or submitted. * Completes all payer rejections in a timely manner in accordance with department standards. * Identifies, separates, and mails claims that require paper submissions for timely submission. * Monitors provider enrollments to assure that claims process correctly to ensure timely reimbursements. * Reviews, researches, and amends correspondence/explanation of benefits and makes appropriate adjustments to accounts. * Identifies and communicates possible system and reimbursement problems to facilitate an efficient and accurate review of the payers. * Meets billing compliance standards. * Contact insurance carriers to have claims reprocessed in accordance with contracts and plan benefits. * Protects Facility value by keeping collection information confidential. * Update job knowledge by participating in continuing education opportunities. * Review billing reports identify areas that need attention. * Provide supervisor with follow up from billing reports. * Bi-weekly supervision. * B. Additional Duties * Assists and covers other staff when necessary to maintain high productivity and efficiency in the department. * As the company continues to grow, additional responsibilities that are essential for the department to be successful will be assigned accordingly. * C. Interpersonal Relations * Create Meaningful Connections: Demonstrates ability to function effectively as a part of team. Uses outstanding oral and written communication with employees at all levels of the business for support and sharing of information. * Take Accountability: Take constructive feedback and prevent discourse among our peers. * Live in the Solution: Critically thinking should be the solution when problems arise. Having the ability to accepts constructive criticism well in an open and non-defensive manner. * Be Professional: Wear business casual attire (please see dress code policy). Competencies * Adaptability * Customer Service * Decision Making * Dependability * Ethics * Interpersonal Skills * Job Knowledge * Conflict Management * Organization Skills * Productivity * Self-Development * Teamwork Performance Standards & Measurement * Compliance with essential and incidental duties; compliance with company policies and procedures. * Compliance with state and federal laws and regulations applicable to the business. Equipment, Tools & Machines * Use of computer, telephone, and other office equipment such as a printer and fax. * Use of company network and email domain. Working Conditions * Air conditioned and well-illuminated office environment and outdoor environment. * May have several responsibilities at once. Interaction with others is constant and can be interruptive. * Work may be stressful at times due to high level workflow. * Availability to work flexible hours including weekends, holidays, and evenings as is required to comply with the purpose of the job and accommodate client needs. * Participates in educational training, orientations, or compliance programs as needed to maintain competency. * If you must leave your employment with our company, we request employees to give us at least 14 days resignation notice in writing. Demands * Enthusiastic self-starter operating with sustained energy and showing great initiative. * Comfort working with a diverse base of support, including members, employers, providers, colleagues, community leaders, volunteers, non-profit organizations, vendors, etc. * Excellent interpersonal and communication skills, including ability to read, write, spell in English legibly and without excessive grammatical or communication errors. * Talk and hear both by person and by telephone; ability to speak clearly and effectively using proper grammar before patients, employees and business partners, among others. * Excellent organizational skills. * Accepts constructive criticism well in an open and non-defensive manner. * Ability to manage conflicting priorities. Ability to maintain a positive work ethic and a congenial attitude in the face of a high-pressure environment. * Ability to function independently and with flexibility. * Ability to work under pressure, handle multiple tasks and interruptions. * Occasional lifting of moderately heavy office supplies; ability to lift supplies for community events, trade shows, conferences, and other marketing opportunities applicable to the organization; ability to lift, push or pull up to 25lbs. * Ability to sit, stand, or walk for extended periods of time. * Must have strong computer skills to meet Microsoft Office and Electronic Health Record software requirements. Qualifications * Education: * High School Diploma or equivalent; Billing and Coding Certification from one of the following national certification exams: * American Medical Billing Association - Certified Medical Reimbursement Specialist (CRMS) Board Exam * AAPC - Certified Professional Coder's (CPC®,) Certified Outpatient Coder (or CPC-HCOC™) [formerly CPC-H®,] Certified Inpatient Coder (CIC™,) or Certified Professional Medical Auditor (CPMA®) Board Exam * American Health Information Management Association - Certified Coding Associate (CCA®,) Certified Coding Specialist (CCS®,) or Certified Coding Specialist Physician-Based (CCS or CCS-P®) Board Exam - The CCS & CCS-P credentials require experience in addition to the education * Experience: * Billing and Coding: Minimum of 1 year * CPT and ICD coding * Computer literate: Microsoft Office (Excel, Word, and PowerPoint) required. Mon-Fri 8:30AM-5:00PM

Responsibilities

The Billing Specialist generates insurance claims, collects outstanding balances, and submits appeals to insurance companies. They also maintain timely follow-up on claims and ensure compliance with billing standards.