Billing Specialist

Knox Public Health; Mount Vernon (OH); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

11 Paid Holidays

Vacation

Sick Time (2 weeks/year)

Personal Leave

Life Insurance

Health/Dental/Vision Insurance

OPERS retirement

Job summary

Knox Public Health is seeking a Billing Specialist to join the Administrative Services team. You will handle processing payments, monitor claims, resolve billing issues, and ensure billing records are accurate and complete.

The role supports revenue-cycle activities, requires attention to detail, and collaborates with insurance payers and staff to optimize reimbursements. Join a mission-driven public health organization in Mount Vernon, Ohio.

Qualifications

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

Responsibilities

• Submit, post, and process payments, ERAs, and remittance advices.
• Review, code, and enter billing and payment information into systems.
• Submit and monitor medical claims for timely reimbursement.
• Resolve claim denials, rejections, underpayments, and discrepancies.
• Work with payers to resolve claim and payment issues.
• Prepare invoices and revenue-cycle reports.
• Review eligibility and sliding-fee documentation.
• Maintain HIPAA-compliant billing documentation.

Skills

Data entry

Analytical

Attention to detail

Communication

Customer service

HIPAA compliance

Problem solving

Independence

Education

High School Diploma or GED

Tools

Microsoft Office

Google Workspace

Job description

Billing Specialist

We are looking for a Billing Specialist to join our Administrative Services team. This position plays an important role in keeping our Health Centers' 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