Billing Specialist

Beloit Area Community Health Center; Beloit (WI); On-site; USD 45,000 - 60,000; Full time

Job summary

Beloit Area Community Health Center is seeking an individual to process insurance claims and handle billing inquiries. Responsibilities include generating claims, analyzing balances, and assisting patients with billing questions.

The ideal candidate should have experience in insurance claims processing and excellent communication skills to follow-up with insurance companies effectively.

Qualifications

• Experience with insurance claims processing.
• Ability to analyze insurance balances and patient denials.
• Excellent communication skills for follow-up with insurance companies.

Responsibilities

• Generate and submit insurance claims and follow-up.
• Analyze outstanding balances and call for payment inquiries.
• Resolve patient billing questions and assist providers.

Job description

JOB SUMMARY

Processes insurance; gathers charge information; completes billing process; files insurance claims; performs collection and follow up work.

ESSENTIAL JOB FUNCTIONS

• Generates and submits third party insurance claims and performs follow-up on previously submitted claims.
• Analyzes outstanding insurance balances; calls insurance companies to inquire on payment needs.
• Analyzes patient denials for possible re-submission and reports to Revenue Cycle Manager denial trends.
• Follow up on claims being processed.
• Post payments in accordance with EOBs received from insurance carriers.
• Assists providers with coding procedures to ensure correct billing.
• Researches all information needed to complete billing process including getting information from providers.
• Offer training and guidance to fellow employees as directed.
• Sliding Fee Discount monitoring and upkeep.
• Participates with other staff to follow up on accounts until no balance or turned over for collection.
• Assists with patient calls regarding billing questions.
• Assists with error resolution.
• Attends meetings as required.
• Follows all CHS policies, procedures, regulatory and legal requirements.