Billing and A/R Specialist

Billing & A/R Specialist
Job Description

Personality Traits/Skills

The Billing Specialist must be able and willing to discuss with clients their personal and sometimes difficult circumstances involving a client’s financial issues. They must be able to deliver this confidential information with tact and discretion; treating each client with respect . The Billing
Specialist must be a high achiever, goal-oriented, detail-oriented and organized. They will have the ability to set and enforce expectation levels. They will be a problem solver who looks for solutions that will benefit the entire organization and its clients.

Qualifications

Minimum five years of experience in medical coding, billing, and collections, preferred. This person must have advanced knowledge of CPT and ICD coding and billing regulatory issues. Certification or associate’s degree in medical billing/coding preferred. Experience with EMR/EHR systems

Reports To: Revenue Manager & Office Manager

Working Conditions: (physical effort, environment, hazard)

● Occasionally required to lift more than 35 pounds.
● Work in a well lighted and ventilated area.
● May be required to sit and work more than 2-3 hours per day at a computer.

This is a hybrid position which may require you to be present for multiple days each week in Burr Ridge, IL.

Position Responsibilities

● Verify insurance benefits when appropriate.
● Collect accounts receivable as assigned, including claims inquiry and re-bill insurance carriers for outstanding claims.
● Resolve questions and problems about the accounts.
● Follow up on insurance denials (including clearinghouse rejections).
● Maintain collection work list.
● Prepare adjustments - including bad debt and charity adjustments – on the adjustment form for approval prior to data entry.
● Post payments received from insurance companies, clients and 3rd parties. (including EFTs and ERAs)
● Contact insurance companies regarding claims, update account information and provide administrative tasks on accounts.
● Perform daily deposit preparation and daily close, to ensure all accounts are balanced.
● Enter payments in an accurate manner following audit guidelines.

● Monitor client accounts for accurate billing information and change accordingly.
● Process and/or respond to client and payor correspondence and inquiry by phone and in-person in a professional, accurate, and timely manner.
● Answer and resolve billing questions; assist clients with payment terms.
● Collect client balances according to established collection policies.
● Follow up on accounts receivable from insurance and client balances.
● Contact clients who are delinquent in payment by mail, email, and/or telephone.
● Send client accounts to the collection agency when appropriate to do so.
● Track and process client and insurance refund requests.
● Resolve issues related to payments by clients such as rejection or deduction analysis.
● Communicate with clients, legal staff, or others to coordinate revisions or adjustments for resubmission.
● Field questions from clients, clerical staff, and others regarding insurance contracts
● Cooperation to ensure that work adheres to the standards, guidelines, procedures, and deadlines.
● Prepare special documents as required by clients, attorneys, insurance companies, or manager(s).
● Proficient in keeping business office flowing.
● Assist others when appropriate, support other staff, and answer phones when necessary.
● Process records requests: copy, send, receive, and scan.
● Coding functions:

• Stay current with CPT/ICD changes.
• Process and reprocess electronic and paper claims.
• File electronic and paper claims.
• Send client statements daily.

● Billing functions:

• Obtain prior authorization/pre-certification.
• Post accounts receivables.
• Follow up on accounts receivable (insurance/client).
• Answer and resolve client billing questions.

Continuing Education
● Attend meetings and seminars to further the knowledge of available technology, products, and services.

Job Type: Full-time

Pay: $41,600.00 - $50,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Physical Setting:

• Office

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental Pay:

• Bonus opportunities

Work Location: Hybrid remote in Burr Ridge, IL 60527

Salary : $41,600 - $50,000