Job Description

The Billing Specialist is responsible for reviewing the accuracy of services provided, generating weekly charges, ensuring payroll and revenue is reconciled, generating EDI and paper claim forms and ensuring they are sent to the responsible entity within timely filing limits. Managing claim corrections due to claim rejections or billing inaccuracies. Assist with claim resolution and timely reimbursement from responsible parties.

This position is hybrid - in office Monday - Wednesday and remote Thursday-Friday. This position starts at $27.88 per hour.

Job Responsibilities:

• Performs all billing and follow-up functions.
• Ensures accurate and complete charge generation and clean claim submission for both paper and electronic claims on a weekly basis.
• Audits accounts for charge accuracy, duplications and overlapped billing, making any adjustments required.
• Edits claim forms, using instructions for each payer, applying principles of coordination of benefits and ensuring correct diagnoses, procedure codes, etc. are utilized.
• Submits insurance claims, responsible for the maintenance of bill holds and the correction of errors to ensure timely and accurate submission.
• Research claim rejections, making corrections, taking corrective actions and/or referring claims to appropriate team members for follow through to ensure timely claim resolution.
• Applies knowledge of specific payer billing and payment rules, managed care contracts, reimbursement schedules, eligible provider information and other available data and resources to ensure a clean claim.
• Evaluates accounts, resubmits claims, and performs adjustments, write-offs and or balance reversals, if charges were improperly billed or if payments were incorrect.
• Responds to inquiries, complaints or issues regarding client billing and collections, either directly or by referring the client to an appropriate resource for resolution.
• Manages unbilled, unbalanced visits, and other billing related reports.
• Informs billing manager of any charging trends or claim edit/rejection trends and provides examples. Assists in providing education to other departments to reduce errors.

Requirements:

• High school diploma or GED required but associate or bachelor’s degree preferred.
• Preferred experience in healthcare revenue cycle billing or account receivable.

Benefits:

• Medical, Dental, and Vision benefits (access to $0 cost employee medical plan)
• Access to HSA/FSA accounts, depending on medical plan eligibility (employer contributed HSA account)
• Employer paid Term Life and AD&D insurance policy at $0 cost to employee
• 401K retirement that includes employer match up to 2%
• 7 paid holidays per year
• Generous PTO program with weekly accrual. Employees can earn up to 200 hours annually based on years of service, starting with up to 120 hours per year for employees with 0-2 years of services.

Apply today and become part of the AccordCare family!