Billing Specialist

FourStone Partners; West Chester (Chester County); On-site; USD 42,000 - 60,000; Full time

Benefits offered by this job

Competitive salary

401(k) options

Educational assistance

Life insurance

Ongoing rewards and recognition

Job summary

A dynamic consulting firm is seeking a Billing Specialist to ensure that client bills are generated correctly and processed efficiently. The role will involve working with medical staff for accurate billing, resolving payment discrepancies, and assisting clients with questions about claims. Ideal candidates will possess strong analytical, organizational, and communication skills. The firm offers a competitive salary and robust benefits package.

Qualifications

• Strong organizational, communication, and analytical skills are required.
• Excellent attention to detail and research skills necessary.
• Ability to effectively multi-task and manage time.
• Aptitude for problem-solving and analytical thinking.
• Proficiency with computer systems and billing software.

Responsibilities

• Work with medical staff to ensure correct diagnosis/procedures are reported.
• Prepare and submit physician claims to insurance carriers.
• Resolve customer deductions and follow up as needed.
• Research and resolve payment discrepancies.
• Assist clients with questions regarding claims.
• Research and resolve payment discrepancies.
• Generate credits and miscellaneous billings.
• Assist with collections for past due balances on accounts.
• Support claimants, providers and clients with questions about claims.
• Complete work within authorized time to ensure compliance with departmental standards.
• Stay updated on third-party billing requirements and changes for applicable insurance types.

Skills

Strong organizational skills

Strong communication skills

Analytical skills

Attention to detail

Multi-tasking

Problem solving

Computer literacy

Job description

FourStone Partners is an innovative consulting firm specializing in business development, sales outsourcing, and operational support services within the Workers' Compensation industry.

We are currently seeing a Billing Specialist to join our growing team! The Billing Specialist will be responsible for ensuring client bills are generated correctly, processed efficiently and paid timely.

Essential Functions

• Based on referral, works with physician or medical record staff to ensure that correct diagnosis/procedures are reported in order to bill third party insurance carriers, TPAs, and other payors.
• Prepares and submits physician claims to third-party insurance carriers either electronically or by hard copy billing.
• Secures needed medical documentation required or requested by third party insurances.
• Resolution of customer deductions, including investigation and follow up.
• Applying payments to customer’s accounts accurately.
• Researching and resolving payment discrepancies.
• Generating credits to accounts and miscellaneous billings.
• Assistance with collections for past due balances on accounts.
• Assist claimants, providers and clients with problems or questions regarding claims.
• Completes work within authorized time to assure compliance with departmental standards.
• Keeps updated on all third-party billing requirements and changes for insurance types within the area of responsibility

Ideal Candidate Skills

• Strong organizational, communication and analytical skills
• Excellent attention to detail and research skills
• Multi-tasking/time management
• Problem solving/analysis
• Strong computer literacy

FourStone Partners recognizes that our greatest assets are our employees. We strive to create a mutually rewarding work environment to ensure employee engagement, recognition, and professional development. Our total rewards package includes a competitive salary, excellent benefits, traditional and Roth 401(k), educational assistance, life insurance, and ongoing rewards and recognition. These programs aim to protect your health, your finances, and ultimately your peace of mind. Come join the Team!