Job Opening – Billing Specialist Agent

Salience Health; Plano (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Salience Health is seeking a Billing Specialist Agent to manage the financial aspects of patient care, including insurance claims, patient billing, and payment processing. The Billing Specialist Agent will ensure accurate and timely billing, follow up on unpaid claims and outstanding patient balances.

Responsibilities include submitting claims, posting payments, reconciling accounts, resolving denials, answering billing questions, and maintaining HIPAA-compliant records across EMR and billing

Qualifications

• Professional, responsive customer service.
• Ability to verify insurance eligibility for psychiatry, neurology and primary care.
• Accurate data entry and attention to detail.
• Ability to manage time and meet deadlines in a fast-paced environment.
• Experience with EMR and billing systems.

Responsibilities

• Prepare and submit claims to insurance companies.
• Receive and process payments from insurance companies and patients, including posting payments and reconciling accounts.
• Investigate and resolve denied or unpaid claims and resubmit when needed.
• Answer patient billing questions and help with payment plans.
• Maintain records in EMR and billing systems and ensure HIPAA compliance.
• Follow up on reports and collect on past due balances.

Skills

Customer Service

Attention to Detail

Time Management

Multi-tasking

Communication Skills

Problem Solving

Education

High School or equivalent

Insurance verification experience (2-4 years)

Medical accounts receivable experience (2-4 years)

Knowledge of medical coding and claims

Job description

Summary/Objective:

The Billing Specialist Agent is responsible for managing the financial aspects of patient care, including insurance claims, patient billing, payment processing and claims submission. The Billing Specialist Agent will ensure accurate and timely billing, follow up on unpaid claims and outstanding patient balances.

Responsibilities/Duties:

• Preparing and submitting claims to insurance companies
• Receive and process payments from insurance companies and patients including posting payments and reconciling accounts
• Investigating and resolving denied or unpaid claims and resubmitting claims when necessary
• Answering patient billing questions, explaining invoices and assisting with payment plans
• Utilize the EMR systems and billing systems to manage patient information, insurance denials and billing records
• Be in compliance with HIPAA regulations and billing laws and guidelines
• Document and maintain records on each open claim.
• Perform necessary follow-up to ensure proper payment is received.
• Identify and resolve billing issues.
• Follow-up on report status of past insurance and patient accounts
• Perform various collection actions including contacting patient by phone, correcting and resubmitting claims.
• Work daily insurance correspondence as needed.
• Answer questions from patients, co-workers, and insurance companies.
• Work Hold Buckets
• Any other duties as assigned.

Job Specifications:

• Must be able to provide professional, responsive, and positive customer service.
• Must be able to verify insurance eligibility for Psychiatry, Neurology and Primary Care Providers.
• Ability to sit for long periods of time working at a desk and accessing a variety of systems.
• Accuracy with attention to detail.
• Ability to manage time and meet goals and deadlines.
• Ability to work both independently and/or as part of a team in a fast-paced environment.
• Strong analytical and problem-solving skills.
• Well organized; ability to prioritize multiple projects and deadlines and be able to multi-task.
• Ability to work under pressure.
• Good customer service skills including sound sensitivity judgement and courteous phone manner.
• High energy: productive work habits, flexible and adaptable to change.
• Experience with computer programs.

Required Education/Experience:

• High School or equivalent
• 2 - 4 years' experience obtaining insurance verification and authorizations
• 2 - 4 years' experience with medical accounts receivable
• Knowledge of medical coding and claims