Billing Specialist

Knox Public Health; Boardman Township (OH); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

11 Paid Holidays

Vacation

Sick Time

Personal Leave

Life Insurance

Health/Dental/Vision Insurance

OPERS Retirement

Job summary

Knox Public Health, based in Ohio, seeks a Billing Specialist to join our Administrative Services team. This position keeps the health center’s revenue cycle moving by processing payments, monitoring claims, and ensuring billing records are accurate and complete.

You will work with insurers and patients, entering data into billing and EHR systems, resolving denials, reconciling accounts, and preparing revenue reports. A strong eye for detail and HIPAA knowledge are essential.

Qualifications

• High school diploma or GED.
• Strong attention to detail and accuracy.
• Strong data-entry, mathematical, analytical, and problem-solving skills.
• Excellent written and verbal communication and customer service skills.
• Ability to prioritize multiple responsibilities and meet established deadlines.
• Ability to work independently.
• Proficiency with Microsoft Office and Google Workspace.
• Understanding of HIPAA requirements and the importance of protecting confidential patient and financial information.

Responsibilities

• Process insurance and patient payments, ERAs, and remittance advices.
• Enter billing and payment data into billing, financial, and EHR systems.
• Submit and monitor medical claims and pursue timely reimbursement.
• Investigate claim denials and billing discrepancies with payers.
• Coordinate with insurance companies to resolve payment issues.
• Submit corrected claims and appeals when needed.
• Review coding for accuracy and address documentation concerns with providers.
• Reconcile patient accounts and assist with collections.
• Review patient eligibility, insurance coverage, and sliding-fee documentation.
• Assist patients and staff with billing questions and payment queries.
• Prepare invoices and revenue-cycle reports.
• Conduct routine audits of claims and billing records.
• Maintain billing documentation per HIPAA and organizational requirements.
• Assist with front-end revenue-cycle tasks during immunization clinics.

Skills

Attention to detail

Data entry

Analytical skills

Communication skills

Microsoft Office

Google Workspace

HIPAA awareness

Education

High school diploma or GED

Tools

Billing software

Electronic Health Records

Job description

We are looking for a Billing Specialist to join our Administrative Services team. This position plays an important role in keeping our Health Center’s revenue cycle moving by processing payments, monitoring claims, resolving billing issues, and making sure our billing records are accurate and complete.

Essential Functions

• Submit, post, and process insurance and patient payments, electronic remittance advices (ERAs), and hardcopy remittance advices.
• Review, code, and enter billing and payment information into billing, financial, and electronic health record systems.
• Submit and monitor medical claims and follow up to help ensure timely reimbursement.
• Research and resolve claim denials, rejections, underpayments, missing payments, and other billing discrepancies.
• Work directly with insurance companies and other payers to resolve claim and payment issues.
• Submit corrected claims and appeals when necessary.
• Review medical coding and billing information for accuracy and work with providers and staff to resolve documentation or coding concerns.
• Reconcile patient accounts and assist with collection and account resolution activities.
• Review patient eligibility, insurance coverage, and sliding-fee documentation.
• Assist patients and Patient Service Representatives with billing questions, statements, payments, and billing concerns.
• Prepare invoices, billing reports, credit-balance reports, and other revenue-cycle reports.
• Conduct routine audits of claims, billing records, sliding-fee scales, and patient accounts.
• Maintain accurate billing documentation in accordance with FQHC, HIPAA, payer, and organizational requirements.
• Assist with insurance eligibility verification and other front-end revenue-cycle functions when needed.
• Provide occasional billing or administrative support during immunization clinics and other agency activities.

Requirements

• High school diploma or GED.
• Strong attention to detail and accuracy.
• Strong data-entry, mathematical, analytical, and problem-solving skills.
• Excellent written and verbal communication and customer service skills.
• Ability to prioritize multiple responsibilities and meet established deadlines.
• Ability to work independently.
• Proficiency with Microsoft Office and Google Workspace.
• Understanding of HIPAA requirements and the importance of protecting confidential patient and financial information.

Benefits

• 11 Paid Holidays
• Vacation
• Sick Time (2 weeks/year)
• Personal Leave
• Life Insurance
• Health/Dental/Vision Insurance
• Retirement under OPERS (Ohio Public Employee Retirement System)

Knox Public Health is an Equal Opportunity Employer