Billing Specialist- Exeter

ACCESS SPORTS MEDICINE & ORTHOPAEDICS PLLC; Exeter (NH); On-site; USD 25,000 - 32,000; Full time

Job summary

ACCESS SPORTS MEDICINE & ORTHOPAEDICS PLLC in Exeter, NH is seeking a Billing Specialist to manage accurate and timely billing for all services offered. The role reports to the Billing Manager in a non-exempt, full-time capacity.

The Billing Specialist will follow up on AR, process insurance payments, interpret EOBs, research and resubmit denied claims, and prepare remittances. A high school diploma is required; an associate degree and 1-2 years of healthcare claims experience are preferred.

Qualifications

• High School graduate or equivalent.
• Associates degree preferred; 1-2 years of healthcare insurance claim resolution.

Responsibilities

• Follow up and timely resolution of outstanding AR accounts as directed.
• Process insurance payments and prompt follow up and resolution of any payment issues.
• Interpret and process explanation of benefits.
• Research, correct, and resubmit rejected and denied claims.
• Prepare appeals for denied claims as necessary.
• Work aging accounts based on insurances assigned.
• Maintain complete and accurate billing and accounts receivable records.
• Prepare Medicare, Medicaid, private payer and patient remittances for data entry.
• Establish and maintain positive working relationships with internal and external customers.
• Ability to accurately review and verify documentation of procedures.
• Excellent phone etiquette to field patient billing phone calls.
• Knowledgeable of office equipment functions-faxing, scanning, etc.
• Ability to effectively train new staff members.
• Handle and maintain the confidentiality of patient and organizational information at all times.
• Builds and promotes a culture of service excellence and continuous improvement.
• Attendance: works as scheduled and is compliant with Attendance and Tardiness Policy.
• Perform other specific projects related to collections, billing, data entry, and computer operations as required.
• Perform all other duties as assigned.

Education

High School diploma or equivalent

Associates degree

Job description

Job Details

Job Location: Exeter - Exeter, NH 03833

Position Type: Full Time

Salary Range: $18.00 - $23.00 Hourly

Job Title: Billing Specialist

Department: Billing

Reports to: Billing Manager

FLSA Status: Non-Exempt

Position Summary

The billing specialist is responsible for ensuring all billing is done accurately and timely for all services offered by ASMO. The billing specialist will also assist the billing manager when applicable with researching and setting up billing for new procedures or services that are added.

Essential Functions

• Responsible for follow up and timely resolution of outstanding AR accounts as directed.
• Process insurance payments and prompt follow up and resolution of any payment issues.
• Interpret and process explanation of benefits.
• Research, correct, and resubmit rejected and denied claims.
• Prepare appeals for denied claims as necessary.
• Work aging accounts based on insurances assigned.
• Maintain complete and accurate billing and accounts receivable records.
• Prepare Medicare, Medicaid, private payer and patient remittances for data entry.
• Establish and maintain positive working relationships with internal and external customers.
• Ability to accurately review and verify documentation of procedures.
• Excellent phone etiquette to field patient billing phone calls.
• Knowledgeable of office equipment functions-faxing, scanning, etc.
• Ability to effectively train new staff members.
• Handle and maintain the confidentiality of patient and organizational information at all times.
• Builds and promotes a culture of service excellence and continuous improvement.
• Attendance: works as scheduled and is compliant with Attendance and Tardiness Policy.
• Perform other specific projects related to collections, billing, data entry, and computer operations as required.
• Perform all other duties as assigned.

Qualifications

• Required: High School graduate or equivalent.
• Preferred: Associates degree; 1-2 years of healthcare insurance claim resolution.