Billing Specialist

Sarahreed; Erie (Erie County); On-site; USD 25,000 - 39,000; Full time

Job summary

Sarahreed is seeking an Accounts Receivable/Billing specialist in Erie, PA to manage outstanding balances with insurance companies and responsible parties. The role includes reviewing denials, correcting claims, billing insurance, and following up on aged receivables, as well as supporting fellow billing staff and addressing software-related billing issues.

Minimum requirements include an associate degree with related experience; billing certification is a plus.

Qualifications

• Associate degree preferred; one year of related experience and/or training; billing certification preferred but not required.
• Solid knowledge of billing requirements for Medical Assistance, Managed Care, and commercial insurers; CPT-4/ICD-9/ICD-10 knowledge.

Responsibilities

• Identify and resolve outstanding accounts receivable by contacting insurance companies and responsible parties.
• Review insurance denials and correct claims.
• Bill outclaims to insurance companies and conduct follow-up.
• Run and review aged receivable reports for various insurers and self-pay accounts; follow up on outstanding claims.
• Answer inquiries regarding patient statements and assist other billing specialists.
• Identify and report billing issues within the software product.
• Additional responsibilities as assigned by the department manager.

Skills

Billing knowledge

Communication skills

CPT-4 & ICD-10

Revenue codes

Education

Associate degree

Billing certification

Tools

Electronic billing systems

Job description

Responsibilities

Identify and work to resolve outstanding accounts receivable balances in atimely manner by contacting various insurance companies and responsibleparties. Review insurance denials and correct claims accordingly. Bill outclaims to insurance companies and conduct necessary follow up. Run andreview aged receivable reports for various insurance companies and self-payaccounts, follow up on outstanding claims, answer inquiries regarding patientstatements, assist the other billing specialists, identify and report billingissues/concerns within the software product. Additional responsibilitiesas assigned by the department manager.

WORK SCHEDULE

37.5hours/week, M-F 8:30-4:30, with ½ hour unpaid lunch (flexible)

QUALIFICATIONS

A.Education/Training/License/Certification

Minimumof an Associate Degree preferred in related field, and at least one year ofrelated experience and/ or training; or equivalent combination or education andexperience; billing certification preferred, but not required.

B.Knowledge, Skills and Abilities

Solid knowledge of billing requirements for Medical Assistance, ManagedCare, and commercial insurers, billing processes and procedures, electronicbilling systems, excellent communication skills, both verbal and written,medical/behavioral health collection experience. CPT-4 and ICD-9/ICD-10knowledge is necessary along with an understanding of revenue codes/837i form.