Billing Specialist

Lifestream Behavioral Center Leesburg , FL 34748

Posted 4 months ago

JOB TITLE: Billing Specialist - Inpatient DATE PREPARED: 01/27/1997

DEPARTMENT: Billing Support Dept 003 DATE REVISED: 02/24/2015

POSITION REPORTS TO: Billing Office Supervisor

JOB SUMMARY: Responsible for billing all inpatient charges for all insurances. Responsible for auditing accounts after payments and doing write-off sheets. Reviews payment and prepared adjustments.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES: The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. It is not necessarily descriptive of any one position in the class. The omission of an essential function does not preclude management from assigning duties not listed herein if such functions are a logical assignment to the position.

  • Bill inpatient charges to assigned company and follow up with denied claims

  • 60 day report, EOBs in a timely manner using EASE as a tool for Medicare A claims

  • Review EOBs for accuracy of payments and postings

  • File appeals and follow-up if not responded in a timely manner

  • Request medical records for appeals/claims/insurance company inquiries

  • Review unpaid claim files every 30 days

  • Insurance paid letters to in-patient consumers

  • Answer consumer calls/return voice messages

  • Bill WIN clinic claims and closely work with consultant on medical billing questions and issues

  • Work closely with WIN staff; superbill, document notes, ICD-9 codes

  • Continue medical billing training/education to ensure accurate billing

  • Ability to perform other duties as assigned

KNOWLEDGE AND JOB SKILLS: Data Entry, Microsoft Word and Excel, Common computer skills, Knowledge of office equipment business math and typing.

CORE COMPETENCIES:

  1. Basic Job Readiness: Courtesy, flexibility, reliability, responsiveness
  2. Personal Effectiveness: Communications, Interpersonal Skills, Self-Management, Thinking Skills
  3. Organizational/Management: Compliance, CQI Commitment, Management of information, Organizational participation, safety
  4. Performance Specific: Crisis management, customer focus

JUDGMENT: Good judgment is integral to security, confidentiality and satisfactory work.

JOB REQUIREMENTS:

Education: High School diploma required.

Experience: One year experience in an office setting and one year computer experience required. Billing experience in a mental health setting preferred.

Personal Qualities: Ability and willingness to learn, initiative.

Special Factors: Maintains a professional atmosphere. Provides excellent customer service, good working relationship with employer, as well as, facility staff and external agencies. Regular communication with insurance companies.

Supervisory Responsibilities:
N/A

Staff Development: Completes all requirements according to Individual Training Plan within the first six months of hire and annually.

POSITION CONTENT: This job description is not intended to be and should not be construed as an all inclusive list of all the responsibilities, skills or working conditions associated with the position. While it is intended to accurately reflect the position activities and requirements, Management reserves the right to modify, and/or remove duties and assign other duties as necessary.


Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Home Srvs Project Specialis...

Home Depot

Posted Yesterday

VIEW JOBS 6/24/2018 12:00:00 AM 2018-09-22T00:00 POSITION PURPOSE The Home Services Project Specialist (HSPS) is responsible for the sales and marketing of the specific Home Services Install programs within Home Depot stores they are assigned to work. They are to work closely with their Sales Consultant and Sales Managers to generate quality leads for and drive awareness of the programs in store. The HS Project Specialist will also attend store events, home shows, and other lead events when scheduled. This is a part-time entry position requiring an outgoing personality to build strong relationships and excellent customer service skills, and the first step to a career path in sales, retail and or marketing with Home Depot. MAJOR TASKS, RESPONSIBILITES AND KEY ACCOUNTABILITIES * 75%-Meets or exceeds established productivity goals by generating quality leads for each Home Services install program assigned. Approaches customers within the store, introducing them to Home Services programs, and pre-qualifying the customer and scheduling a free in home consultation. Provides accurate product information to the customer. * 10%-Work with Home Depot store associates and management to maintain a positive working relationship. * 5%-Set-up and break down a store display in locations that allow it and help maintain the selling center with needed brochures and materials. Ensure the program displays are clean and literature are in stock for customers. * 5%-Attend store events and home shows to promote Home Services business to attendees. * 5%-Other job duties as assigned by manager. NATURE AND SCOPE This position reports to Branch Marketing Manager or Sales Manager This position has no Direct Reports ENVIRONMENTAL JOB REQUIREMENTS Environment: Located in a comfortable indoor area. Any unpleasant conditions would be infrequent and not objectionable. Travel: Typically requires overnight travel less than 10% of the time. MINIMUM QUALIFICATIONS * Must be eighteen years of age or older. * Must be legally permitted to work in the United States. Education Required: The knowledge, skills and abilities typically acquired through the completion of a high school diplomas and/or GED. Years of Relevant Work Experience: 1 years Physical Requirements: Must continuously stand or walk or regularly requires lifting/handling/carrying material or equipment of moderate weight (8-20 pounds). Preferred Qualifications: * Knowledge or experience in the home improvement, retail or telemarketing field. * Ability to travel to various locations based upon business needs is preferred by not required. Knowledge, Skills, Abilities and Competencies: * Strong customer service skills. * Good verbal and written communication skills with flexibility of style to reach multiple audiences. * Excellent relationship building skills. * Good presentation and selling skills. * Ability to initiate conversations with customers and accept possible rejection Home Depot Leesburg FL

Billing Specialist

Lifestream Behavioral Center