Billing Specialist FT (On-Site) | Peak View Behavioral Health | Colorado Springs, Colorado
About the Job:
PURPOSE STATEMENT:
The Billing Specialist is responsible for obtaining accurate and detailed information concerning insurance and self-pay reimbursement on all patient accounts which include billing, collections, follow up, reporting, and other duties as assigned to maximize re-imbursement of services provided to achieve established hospital goals.
Pay Range: $27.00 - 28.50 hourly
Roles and Responsibilities:
- Ensures that certified coding specialists have audited patients' billing records against clinical records before billing and maintains supporting documentation of audit in the patients' billing files.
- Manages assigned accounts receivable balances to ensure that appropriate payer sources are billed timely and accurately, and payments are made within payment terms.
- Documents/communicates billing released to third party payers.
- Follows up on any outstanding account balances in a timely manner and resolves any issues immediately to ensure prompt payment within payer payment terms to allow for an effective and efficient cash flow of hospital receivables.
- Conducts on-going account audits utilizing AR, Billed Open, and Unbilled Reports for determining the efficiency and accuracy of billing and collections operations.
- Generates secondary claims and rebills, verifies claim form is accurate and transfers/releases to third party payer.
- Reviews Rebill/Denial Log daily and processes rejections from EOB/ERA.
- Performs timely processing of refund requests.
- Accurately and timely performs data entry of charges, payments, adjustments, and other transactions to patient accounts as required to include both insurance and patient billing for charges incurred.
- Records and balances both A/R and miscellaneous cash.
- Prepares bank deposits and post cash and adjustments to patient records as required.
- Retrieves and performs electronic billing to insurance companies in a timely manner.
- Makes follow up calls to insurance companies and guarantors as required.
- Checks the accuracy of figures, calculations and postings pertaining to business transactions recorded by others.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- High school diploma or equivalent required. Associates' degree in accounting/finance preferred.
- Two or more years' of business office experience and Accounts Receivable required, preferably in medical/psychiatric setting.
- Knowledge of general office procedures and electronic billing required.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Not applicable.
WORK LOCATION:
This position is onsite and is not a remote position.
SUPERVISORY REQUIREMENTS:
This position is an Individual Contributor.
Why Peak View Behavioral Health?
Peak View Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Peak View Behavioral Health is an EOE.