Billing Specialist
High Country Community Health · Boone, North Carolina, US
Description Title of Position: Billing Specialist Nature of Position: The billing specialist will be responsible for working with the team to ensure that cla...
Job description
Description Title of Position: Billing Specialist: Nature of Position: The billing specialist will be responsible for working with the team to ensure that claims are processed promptly and efficiently. II. Responsible to: Director of Revenue Cycle III. Responsibilities: - Data Management Specialist - Checking eligibility and benefits verification for office procedures. - I'm looking over the patient bills for accuracy and completeness, and obtaining any missing information. - Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. - Encounter Review of charts to ensure codes/charges are accurate. - Working daily schedules from offices to ensure all charges are captured. - Following up on unpaid claims within the standard billing cycle timeframe. - Checking each insurance payment for accuracy and compliance with contract discount. - Calling insurance companies regarding any discrepancy in payments if necessary - Identifying and billing secondary or tertiary insurances. - Reviewing accounts for insurance of patient follow-up. - Claim Denial Management: refiling, researching, and appealing denied claims. - Answer all patie...