Billing Specialist Overview • The Billing Specialist role offers an opportunity to manage essential billing processes within a dynamic healthcare setting. • Utilize your expertise in insurance terminology and coding standards to ensure accurate billing and claims processing. • Engage directly with patients to resolve billing inquiries and establish payment plans as needed. • Work independently while maintaining a high level of organization and attention to detail. • Contribute to the verification of insurance benefits and communicate patient responsibilities effectively. • Collaborate with insurance companies to address outstanding claims and submit appeals when necessary. • This contract role offers potential for transition to permanent employment based on performance. Billing Specialist Key Responsibilities & Duties • Review claims for accurate ICD-10 and CPT code charges against physician progress notes. • Handle incoming patient calls, resolving inquiries and establishing payment plans as needed. • Verify insurance benefits via phone or internet for scheduled appointments and notify patients of their responsibilities. • Obtain referrals as required and ensure compliance with insurance policies. • Follow up on outstanding or denied claims, submitting corrected claims and appeals as necessary. • Post ERA payments accurately and maintain detailed records of transactions. • Perform additional administrative duties as assigned to support the billing department. Billing Specialist Job Requirements • High school diploma or GED required; additional certifications in medical billing are advantageous. • 1-2 years of relevant work experience in medical billing or equivalent training. • Proficiency in ICD-10 and CPT coding standards and insurance terminology. • Strong organizational skills and the ability to work independently with minimal supervision. • Effective communication skills for patient interaction and insurance company correspondence. • Experience with electronic billing systems and ERA payment posting processes. • Ability to evaluate financial statuses and establish payment plans for patients.