Billing Specialist

Commonwealth Eye Surgery; Louisville (KY); On-site; USD 36,000 - 54,000; Full time

Job summary

Commonwealth Eye Surgery is seeking a billing specialist to support charge entry, insurance claims, and patient billing in a physician practice and ambulatory surgery center setting.

You will obtain prior authorizations, prepare and submit claims, manage denials, and assist patients with questions about bills and balances. Strong communication and multitasking in a team-oriented environment are essential.

Qualifications

• High school diploma or equivalent.
• Minimum 2 years in customer service.
• Healthcare billing or medical receptionist experience preferred; explain in cover letter if not applicable.

Responsibilities

• Prepare claims for submission and handle denials.
• Obtain accurate prior authorizations for scheduled surgeries.
• Review surgery EMRs for errors and coordinate corrections.
• Create and submit physician and ASC claims.
• Resolve rejected claims daily to ensure timely submission.
• Review aging insurance accounts receivable and correct issues.
• Discuss billing questions with patients in person and by phone.
• Set up patient payment plans and cover other duties during vacations.

Skills

Communication

Analytical thinking

Typing 40+ wpm

Computer skills

Attention to detail

Multitasking

Teamwork

Education

High school diploma

Healthcare billing experience

Job description

Job Summary:

Responsible for support of charge entry for physician practice and ASC. Obtain prior authorizations, create and submit accurate physician and facility claims to insurance providers. Work aging accounts receivable including insurance denials and appeals as well as aging patient balances. Interacting with patients regarding both expected costs and current balances.

Education and Experience:

• High school diploma or equivalent.
• Two years minimum experience in customer service
• Healthcare billing representative or medical receptionist experience a plus. If you do not have this experience, please note in your cover letter why you are interested in this field.

Essential Skills and Abilities:

• Excellent communication skills, written and oral.
• Mathematical and analytical problem solving ability.
• Type 40+ WPM.
• Strong computer skills.
• Well-organized with attention to detail.
• Ability to manage multiple tasks simultaneously.
• Ability to work as a team player.

RESPONSIBILITIES:

Primary Responsibilities

• Prepare claims for submission, work denials, interact with patients regarding bills and per assignment protocols determined by Billing Manager
• Request and obtain accurate prior authorizations for surgery scheduled
• Review surgery EMRs for errors. Ensure corrections are performed by the appropriate parties if necessary.
• Create and submit claims for surgeries for both a physician and an ambulatory surgery center.
• Resolve rejected claims daily to allow for timely submission.
• Review aging insurance accounts receivable and make corrections to ensure future payments. Find and assist in resolving trending issues with specific insurance payers.
• Discuss insurance and billing questions with patients in person and by phone.

Secondary Responsibilities

• Perform other duties, as required.
• Set-up payment plans for patients.
• Cover other positions in billing during vacation time