Billing Specialist

Altru Health System Clinic Grand Forks , ND 58202

Posted 2 months ago

Job Summary


The Billing Specialist answers patient inquires and handles correspondence and questionnaires from patients and contacts them when needed


. This position demonstrates sound working knowledge of government regulations and other insurers requirements.

The specialist identifies claims which cannot be transmitted, obtains and keys information which is a prerequisite to claim filing, and establishes a daily routine from the work queue to track pending eligibilities and unpaid claims. The Billing Specialist assists Manager/Supervisor in defining new requirements, inefficiencies and errors.# # Title and Description


Answers patient inquiries


, both clinic and hospital accounts, and obtains Medicare secondary payer information. Handles all correspondence and questionnaires from patients.# Obtains and keys information which is a prerequisite to claim filing, makes any needed edit changes to the primary payer designation and completes these procedures prior to the release of any applicable holds.

Reviews appropriate accounts to be placed on hold.# Performs billing that optimizes cash returns and minimizes denied charges, follows guidelines in a sensitive, yet assertive manner when assisting patients.# Identifies claims which cannot be transmitted and requests paper claims from the system and edits, corrects and batches forms for mailing and/or electronic transmissions.# Works coverage update work queues or retro adjudication work queues appropriately on a daily basis. Works daily work queue of accounts on hold and completes combined accounts, provider based and inpatient hospital claims.# Assists Manager/Supervisor in defining new requirements, suggesting solutions and testing additional systems or enhancements.# # Responds appropriately to necessary changes by staying up-to-date on payer requirements and system capabilities through insurance bulletins by working and editing accounts.# Identifies delays, inefficiencies and errors which delay the claims process and solves them independently if possible or reports to Manager/Supervisor.# Performs other duties as assigned or needed to meet the needs of the department/organization.# # # Education # Experience


Degree


/Diploma# #Associates in Business or related field Experience

####A minimum of

2 years of related experience#

Job Summary

The Billing Specialist answers patient inquires and handles correspondence and questionnaires from patients and contacts them when needed. This position demonstrates sound working knowledge of government regulations and other insurers requirements.

The specialist identifies claims which cannot be transmitted, obtains and keys information which is a prerequisite to claim filing, and establishes a daily routine from the work queue to track pending eligibilities and unpaid claims. The Billing Specialist assists Manager/Supervisor in defining new requirements, inefficiencies and errors.

Title and Description

Answers patient inquiries, both clinic and hospital accounts, and obtains Medicare secondary payer information. Handles all correspondence and questionnaires from patients.

Obtains and keys information which is a prerequisite to claim filing, makes any needed edit changes to the primary payer designation and completes these procedures prior to the release of any applicable holds.

Reviews appropriate accounts to be placed on hold.

Performs billing that optimizes cash returns and minimizes denied charges, follows guidelines in a sensitive, yet assertive manner when assisting patients.

Identifies claims which cannot be transmitted and requests paper claims from the system and edits, corrects and batches forms for mailing and/or electronic transmissions.

Works coverage update work queues or retro adjudication work queues appropriately on a daily basis. Works daily work queue of accounts on hold and completes combined accounts, provider based and inpatient hospital claims.

Assists Manager/Supervisor in defining new requirements, suggesting solutions and testing additional systems or enhancements.

Responds appropriately to necessary changes by staying up-to-date on payer requirements and system capabilities through insurance bulletins by working and editing accounts.

Identifies delays, inefficiencies and errors which delay the claims process and solves them independently if possible or reports to Manager/Supervisor.

Performs other duties as assigned or needed to meet the needs of the department/organization.

Education & Experience

Degree/Diploma Associates in Business or related field

Experience A minimum of 2 years of related experience



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Billing Specialist

Altru Health System Clinic