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The Billing Specialist is responsible for reviewing and editing claims, submitting claims for payment, correcting errors and resubmitting denied claims, contacting insurance payors and patients when necessary, and other duties related to Accounts Receivable as assigned.
Essential Duties & Responsibilities:
- Ensuring that claims are submitted correctly, processed, and paid in a timely manner.
- Analyses CHC’s Accounts Receivable to find root causes of billing issues and formulates corrections.
- Works Epic Work-Queues as assigned by the manager, investigating payment related claims issues, and preparing claims for submission to payors
- Performing collections activity with patient and insurance payors. Contacting them as necessary to perform duties, including phone calls and emails
- Maintain current working knowledge of all professional reimbursement issues.
- Demonstrates understanding and commitment to the health center mission
- Demonstrates understanding and commitment to the established CHC Values and Standards
- Perform all other job-related duties that may be assigned
Minimum Qualifications:
- Min. High School diploma or GED required
- Experience in third-party billing and collections preferred. ICD10 and CPT coding, contract compliance, and information reporting requirements
- The ability to work independently and with teams to solve problems
- Previous experience working with EPIC preferred
- Strong Healthcare Revenue Cycle operational workflow knowledge
