Billing Specialist

Job Description
POSITION SUMMARY
The Billing Specialist (BS) position is an integral part of our organization’s accounting team. This position requires an individual who has a strong attention to detail, and excellent organizational and communication skills, written and oral. The BS will be responsible for reviewing and preparing invoices, ensuring the accuracy and completeness of billing data, resolving billing issues, and maintaining appropriate and accurate records. This position will also support documentation of processes and provide recommendations to promote effectiveness and efficiency. This position reports to the Chief Financial Officer.
RESPONSIBILITIES
The position will be responsible for the following:

Submit reimbursement requests to state, private, and employer insurance.
Verify patient insurance coverage, obtain pre-authorization when necessary, and confirm deductible and copayment details.
Follow up on insurance claims, including denials, payments, and requests for more information.
Complete the process for credentialing clinicians.
Research and resolve client billing questions or issues.
Review and prepare customer invoices, ensure accuracy and completeness of billing data.
Monitor and follow up on outstanding invoices.
Post payments in financial and electronic medical record system to individual account.
Work with self-paying patients to develop payment arrangements.
Maintain patient confidentiality and adhere to HIPAA regulations.
Stay updated on changes in medical billing and coding guidelines.
Collaborate with other departments as needed.
Other duties as assigned.