The Billing Specialist is responsible for collecting, posting, and managing account payments. Additionally, they are responsible for submitting claims and following up with insurance companies.
Essential Functions
- Prepares and submits clean claims to various insurance companies’ either electronically or by paper.
- Answers questions from patients, clerical staff, and insurance companies.
- Identifies and resolves patient billing complaints.
- Prepares, reviews, and sends patient statements.
- Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
- Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
- Performs daily backups on office computer system.
- Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Processes payments from insurance companies and prepares a daily deposit.
- Participates in educational activities and attends monthly staff meetings.
- Conducts self in accordance with HPA’s employee manual.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.