Overview PURPOSE STATEMENT: The Billing and Payment Specialist is responsible for the expedient and accurate billing for treatment services posting of payments received for a group of facilities. This is an onsite full-time, Mon-Fri opportunity! Responsibilities ESSENTIAL FUNCTIONS: • Responsible for billing all patient claims in a timely manner. • Review claims issues, make corrections as needed, and rebill. Utilize claims clearing house to review and correct claims and to resubmit electronically when available. • Responsible for evaluating bill cycles and changing/updating when necessary. • Responsible for printing daily billing reports – both electronic and paper claims. Monitor validation percent. • Work daily claims rejection lists. • Responsible for posting insurance and patient payments, contractuals, and all other adjustments. • Review explanation of benefits to ascertain that claim processed and paid correctly. If processed incorrectly provide detail information to collector for follow up. • Complete adjustment forms if any adjustments need to be made to an account and attach all supporting documentation. • Prorate patient accounts and monitor that balance due is in the correct financial class. • Maintain daily cash log noting any variances on a daily basis. • Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. Qualifications STANDARD EXPECTATIONS: • Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality. • Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team. • Develops constructive and cooperative working relationships with others and maintains them over time. • Encourages and builds mutual trust, respect and cooperation among team members. • Maintains regular and predictable attendance. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: • High school diploma or equivalent. • 5 years of job-related experience, healthcare experience preferred. • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint. • Knowledge of office administration procedures with the ability to operate most standard office equipment. • Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality. • Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external. • Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level. • Self-motivated with strong organizational skills and superior attention to detail. • Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes. • Capable of working within established policies, procedures and practices prescribed by the organization. • English sufficient to provide and receive instructions/directions. LICENSES/DESIGNATIONS/CERTIFICATIONS: · Not Applicable We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws. AHMKT #LI-AR