Billing Review Specialist

externallincarecareers; Largo (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

externallincarecareers seeks a Billing Review Specialist in Largo, FL to ensure timely and accurate reviews of billing accounts. You will contact payors, verify benefits, and resolve patient billing issues while maintaining HIPAA-compliant records and supporting the team.

The role requires strong communication, multitasking, and adherence to insurance guidelines. Collaboration with staff and management is essential to ensure accurate bill processing and timely payments.

Qualifications

• High School Diploma or GED required.
• Past experience with insurance guidelines preferred.
• Strong telephone etiquette and written/oral communication skills.
• Able to multitask and collaborate with colleagues at all levels.
• Knowledge of HIPAA regulations helpful.

Responsibilities

• Contact payors to discuss policy criteria and clarify accounts.
• Verify insurance benefits and patient eligibility.
• Resolve billing issues with patients and ensure timely payment.
• Maintain HIPAA-compliant patient records.
• Assist other billing review specialists as needed.
• Document all activity in customer systems or applications.
• Serve as liaison between staff and management.

Skills

Insurance knowledge

Telephone etiquette

Multitasking

Communication skills

HIPAA compliance

Education

High School Diploma or GED

Job description

This employee ensures that all assigned reviews and company projects are completed timely and accurately according to thescope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review teamand/or Manager of the Centralized Billing Review team.

JOB FUNCTIONS

• Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
• Understands payor requirements according to their policies
• Ensures completion of all forms and collects complete billing information
• Pursues, maintains, and communicates medical coverage/guideline changes/updates
• Verifies insurance benefits and eligibility for patients
• Communicates with patients to resolve billing issues and ensures timely payment
• Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
• Works assigned reports accurately and timely
• Helps facilitate interoffice communication on payor updates and trends
• Completes any adjustments/transfers of AR as required
• Documents all activity in customer's computer account or applicable applications
• Answers billing review specialist questions accordingly
• Reports issues and/or concerns in a timely manner
• Available to assist other billing review specialists on the team with questions or needs
• Acts as liaison between staff and management

Education

• High SchoolDiplomaor General Education Degree (GED) Required

Knowledge, Skills, and Abilities

• Past performance shows solid evidence of insurance qualifications and guidelines
• telephone etiquette and adequate oral and written communication
• Shows effective multitasking
• Positive and cooperative attitude in working and communicating with individuals at all levels of theorganization
• medical field experience preferred