The Billing Specialist, under the supervision of the Billing Supervisor and Director of Provider Services, will analyze charges, complete claim follow up, and maintain billing records, perform data entry- including posting payments, and retrieve patient billing information.

Essential Job Duties & Responsibilities

Daily essential duties and responsibilities includes:

• insurance verification
• ticket review and claim submission,
• payment posting,
• claim follow up which includes claim correction and resubmission.
• The Billing Specialist will also work COVID/HRSA portal entry of patient demographics and COVID ID numbers into the company’s system
• Performs other duties as required or assigned, which are within the scope of duties enumerated throughout

Experience & Training

• A minimum of Two years of experience in performing outpatient medical billing in a FQHC setting, including encounter rate billing
• Strong communication skills, written, spoken and active listening.
• Experience using Office 365, including outlook, share point, excel, and word.
• Experience with reading and understanding explanation of benefits and the ability to post payments and follow up denied/rejected claims according to department guidelines and protocol.
• The ability to multitask, handle large volumes of work and maintain accuracy.
• Good analytical skills, the ability to follow instructions and problem solving.
• Understanding the urgency of retrieving and responding to voicemail messages timely

• Basic Mathematical, 10 key Calculator, Scanner, Printer and Faxing skills

• Basic Medical Terminology and ICD10/CPT coding principles

• Understanding HIPAA including maintaining the security of patient information

• Preference: 2 years’ experience of Medicare, State of Illinois Medicaid, Managed Care billing.

Educational Requirements

High School Diploma; Associate degree in accounting preferred.