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Billing Specialist

Company: Resource Treatment Center
Location: Indianapolis
Posted on: May 6, 2021

Job Description:

ESSENTIAL FUNCTIONS

  • Provide accurate account information to patients, insurance companies, third-party payers, and/or collection agencies as required.
  • Contact the insurance company or third-party payer within 15 days of billing submission to ensure receipt of bill.
  • Maintains billing system ensuring all bills are submitted either electronically or by paper within corporate guidelines.
  • Checks all bills, UB's and 1500's, for accurate information and make any changes necessary for correct billing prior to bill submission.
  • Makes correct split bills when insurance verification requires it.
  • Ensures the effective implementation of collection measures for uncollected accounts.
  • Maintains work list and ensures an average of thirty (30) accounts are worked daily and documented appropriately in the HMS system.
  • Provides required follow-up on all responsible accounts ensuring accounts are resolved within 120 days of discharge.
  • Maintains patient accounts with appropriate documentation, i.e. all contacts and conversations are documented.
  • Submits requests to patient for any information needed to submit a "clean" bill.
  • Processes patient and insurance refunds accurately and within 30 days of final payment.
  • Knowledgeable of specific billing requirements of the various insurance carriers, i.e. Medicare, Medicaid, Champus, Blue Cross, etc.
  • Submits bill requests for any outstanding late charges and makes appropriate corrections.
  • Reports any system problem, billing issues, or filing back log to supervisor to seek assistance as needed.
  • Processes all insurance and patient requests in a timely manner.
  • Submits daily cash adjustment sheets with the appropriate contractual discount.
  • Complete Insurance Verifications, relay information to Intake and patients, and compile daily financial chartsOTHER FUNCTIONS
    • Performs other essential duties as assigned.EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
      • High school diploma or equivalent.
      • Minimum 2 years of job-related experience.
      • Advanced computer skills including Microsoft Office; especially Word, Excel, and PowerPoint.
      • Knowledge of office administration procedures with the ability to operate most standard office equipment.
      • Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality.
      • Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external.
      • Exercises sound judgment in responding to inquiries; understands when to route inquiries to next level.
      • Self-motivated with strong organizational skills and superior attention to detail.
      • Must be able to manage multiple tasks/projects simultaneously within inflexible time frames.-- Ability to adapt to frequent priority changes.
      • Capable of working within established policies, procedures and practices prescribed by the organization.
      • English sufficient to provide and receive instructions/directions.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: Resource Treatment Center, Indianapolis , Billing Specialist, Accounting, Auditing , Indianapolis, Indiana

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