Billing Specialist

Job Summary: Billing Specialist provides billing and administrative support services.

Essential Duties and Responsibilities:

  • Enter information into the billing system accurately and timely
  • Exhaust all avenues to discover insurance information for patients through the clearinghouse, internet, or telephone
  • Verify eligibility of insurance policy through the internet and through the internet or clearinghouse
  • Accurately document all pertinent information in the notes
  • Interpret clinical information and ensure medical necessity has been met
  • Accurately apply ICD and HCPCS codes
  • Accurately file billing documents
  • Perform other duties as assigned including non-accounting and administrative tasks
  • Comply with HIPAA compliance guidelines, policies and procedures Interpret clinical information & bill insurances accordingly
  • Maintain Excel spread sheets as needed

Physical Demands:

The physical demands described here are the representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl; talk or hear. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals to perform the essential functions.

While performing the duties of this job, the employee is exposed to computer screens using keyboard functions and other hand usage.

**The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.


Qualification Requirements:

  • GED or High School Diploma
  • Data entry experience
  • Must be able to type a minimum of 45 WPM accurately
  • 10-Key accounting experience
  • Previous billing, claims, and/or reimbursement experience
  • ICD & HCPCS coding experience or education is required
  • Knowledge of Medicare, Medicaid and commercial billing procedures
  • Experience with Microsoft Office (including Word & Excel)
  • Basic understanding of medical terminology & anatomy
  • Detail oriented & good time management skills
  • Strong organization skills
  • Effective communication skills (both verbal & written)

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