Billing Specialist

Job description

Description JOB SUMMARY AND SCOPE: To seek reimbursement for hospital patient accounts by accurately billing third party payors and patients, and performing follow-up as necessary to secure payment for each patient account. ESSENTIAL JOB FUNCTIONS: - Reviews bills daily as they are printed and edits bills as necessary in preparation for submission to third party payors - Reviews daily rejections from third party payors and re-submits within 5 business days. - Contacts third party payors to seek information and to solve problems that arise during the reimbursement process - Meets with patients to solve problems with patient accounts - Reviews a monthly aged trial balance in order to prevent accounts from aging past filing limits and takes corrective action - Manage assigned accounts to an average of 50-60 days in AR, or as assigned. - Keeps abreast of new laws, compliance and changes in third party billing process - Reviews various reports for overpayments, late posted charges, incorrectly posted charges and payments, and takes corrective action, being mindful of applicable filing limits. - Processes credit balances due to overpayments in accordance with hospital policy - Works with...