SUMMARY/OBJECTIVE:

The 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.

• Preparing and submitting claims to insurance companies
• Receive and process payments from insurance companies and patients including posting payments and reconciling accounts
• Investigating and resolving denied or unpaid claims and resubmitting claims when necessary
• Answering patient billing questions, explaining invoices and assisting with payment plans
• Utilize the EMR systems and billing systems to manage patient information, insurance denials and billing records
• Be in compliance with HIPAA regulations and billing laws and guidelines
• Document 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 accounts
• Perform 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.