Billing Specialist

Community Health Systems, Inc.; Beloit (WI); On-site; USD 35,000 - 52,000; Full time

Job summary

Community Health Systems, Inc. seeks a Billing Specialist to handle insurance claims processing, balance analysis, and follow-up tasks within the Revenue Cycle. The role includes assisting providers with coding to ensure accurate billing and addressing patient billing questions.

The position requires attention to detail and adherence to policies; training and collaboration with staff are part of the duties in a regulated healthcare environment.

Qualifications

• Generates and submits third party insurance claims and follows up on submitted claims.
• Analyzes outstanding balances and calls insurers to determine payment needs.
• Reviews patient denials for possible re-submission and reports denial trends.

Responsibilities

• Follow up on claims and post payments as indicated by EOBs.
• Assist providers with coding to ensure accurate billing.
• Provide guidance to colleagues and participate in trainings as needed.
• Attend meetings and follow CHS policies and regulatory requirements.

Skills

Insurance billing

Claims follow-up

Patient communication

Coding assistance

Problem solving

Job description

Job Title

Billing Specialist

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 EOB’s 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.
• Completes required trainings on time.