Billing Specialist II
- Claims Processing: Generate and submit claims within the Electronic Medical Record (EMR) system.
- Coding Accuracy: Review and ensure proper coding of claims before submission to the Clearinghouse.
- Claims Management: Follow up on billing discrepancies, denials, and unpaid claims to maximize revenue collection.
- Insurance Coordination: Work directly with insurance companies to appeal denied claims and resolve any billing issues.
- Credentialing: Ensure timely and accurate credentialing for all providers and payors
- Payment Posting: Accurately post insurance and patient payments to accounts.
- Accounts Receivable (AR): Run reports and monitor outstanding balances to manage AR effectively.
- Insurance Verification: Verify patient insurance eligibility and update insurance details on claims as needed.
- Additional Duties: Perform other related tasks as assigned to support the billing team’s operations.
- Proven typing skills are required.
- Must have excellent communication and customer service skills.
- Must be able to perform basic adding and subtracting math skills.
- Must be able to organize patient information, handle multiple tasks concurrently, possess good interpersonal skills and be able to work effectively with patients and health center staff.
- A High School Diploma or equivalent degree is required.
- Minimum of 3 years of Medical/Dental Billing experience required
- Previous FQHC billing experience preferred
- Certified coding certificate preferred
- This is a moderately active role, which includes prolonged sitting, and walking around the office.
- Requires the ability to lift or move up to 25 pounds, bending, squatting, sitting, and standing as necessary.
- Must be able to lift, carry and handle equipment, supplies and other work site materials based on position duty requirements.
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