Billing Specialist

LECOM Medical Center and Behavioral Health Pavilion, an EEOC Employer, is seeking a Billing Specialist to join our team. Summary : We are looking for a self-starter with excellent time management and organizational skills, able to follow direction with minimal oversight, solve problems, and communicate effectively with internal and external customers and insurance payers within tight deadlines. Duties And Responsibilities : Prepare, review, and transmit facility and professional claims using billing software and clearinghouse. Ensure rejected claims are reviewed, corrected, and reprocessed timely. Follow up on unpaid claims and contact payers on various issues within standard billing cycle timeframe. Review payments for accuracy; spot check for 100% reimbursement on charges, and excessively low payment. Identify and bill secondary or tertiary insurance payers as appropriate. Answer patient, provider, or insurance telephone inquiries pertaining to assigned accounts and work to resolve them effectively. Timely follow up on insurance claim denials, exceptions, or exclusions. Stay informed on local regulations and changes in billing requirements. Make necessary arrangements for medical record requests, completion of additional information requests, appeals, etc. as requested by insurance companies. Regularly meet with Patient Accounting Leader to discuss and resolve reimbursement issues or billing obstacles. Regularly attend department huddles and meetings. Perform additional duties as requested. Minimum Education : Associate degree required. Minimum Experience : One to three years of experience in medical or hospital billing, with hospital billing preferred. Minimum Skills : Demonstrate reliability and a sense of urgency in completing tasks quickly and in a timely manner. Excellent customer service skills and conceptual understanding of financial record keeping and medical billing procedures. Competent use of computer systems, software (including Microsoft Office), and 10 key calculators. LECOM Medical Center and Behavioral Health Pavilion is an Equal Opportunity Employer.

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