Professional Billing Specialist

ADP, Inc.; Cass City (MI); On-site; USD 25,000 - 33,000; Full time

Job summary

Aspire Rural Health System is hiring a Professional Billing Specialist in Cass City, MI. The role sits in Patient Financial Services and includes full-time hours with benefits. You will handle timely billing, ensure accurate UB-04 and 1500 claims, and manage follow-ups with insurers and patients.

Requirements include at least 1 year of hospital/physician billing or a billing certificate or associate degree, plus knowledge of coding, revenue codes, and AR collections. Equal opportunity employer.

Qualifications

• High School education or equivalent.
• At least 1 year of hospital and/or physician billing or a billing certificate/ associate degree.
• Knowledge in UB-04, 1500 billing, CPT Coding, HCPC Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word, and other office equipment

Responsibilities

• Responsible for timely and accurate billing of all patient/customer accounts.
• Ensure accurate and complete information appears on UB 04 and 1500 claims and the electronic billing system.
• Research and resolve open accounts thoroughly and accurately.
• Submit appeal letters to insurance companies, follow up on unpaid or incorrectly paid claims, patient phone calls, and correspondence.
• Prepares accurate account payments and adjustments when indicated on the patient/customer account file.
• Understand the Rev Codes, CPT, HCPC, and ICD-10 Codes.

Skills

Billing knowledge

Data processing

Accounts receivable

Excel

Word

Education

High School diploma or equivalent

Billing certificate / associate degree

Tools

UB-04

1500 Billing

CPT Coding

HCPCS Coding

ICD-10 Coding

Revenue Coding

Data Processing

Accounts Receivable Collections

Excel

Word

Job description

Full Time Clerical Cass City, MI, US

OPEN POSITION:

Position: Professional Billing Specialist
Department: Patient Financial Services
Location: Cass City, MI
Hours: Full Time. Days. Full Benefits.

Aspire Rural Health System is hiring a Professional Billing Specialist! We’re looking for individuals with a positive attitude to join our dedicated team of healthcare professionals committed to delivering the highest quality of service to both our patients and employees.

QUALIFICATIONS:

• High School education or equivalent
• At least 1 year of hospital and/or physician billing or a billing certificate/ associate degree.
• Knowledge in UB-04, 1500 billing, CPT Coding, HCPC Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word, and other office equipment

RESPONSIBILITIES: Responsible for timely and accurate billing of all patient/customer accounts. Ensure accurate and complete information appears on UB 04 and 1500 claims and the electronic billing system. Research and resolve open accounts thoroughly and accurately. Submit appeal letters to insurance companies, follow up on unpaid or incorrectly paid claims, patient phone calls, and correspondence. Prepares accurate account payments and adjustments when indicated on the patient/customer account file. Understand the Rev Codes, CPT, HCPC, and ICD-10 Codes.

Aspire Rural Health Systems are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Aspire Rural Health System provides reasonable accommodations to qualified applicants with disabilities. If you need an accommodation to complete the application or participate in the interview process, please contact Human Resources.