Ear, Nose & Throat Associates

Billing Specialist

• Responsible for understanding all aspects of coding, quality assurance and compliance with Federal Payer documentation guidelines
• Works closely with departmental management and coordinates with Physicians
• Posting, clean claim submission to clearing house, denials, appeals, follow-up on claims until payment received
• Uses A/R follow-up systems and reports to identify unpaid claims for collection/appeal
• Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer contract
• Applies appropriate discounts/courtesies based on department policy
• Processes daily mail, edits reports, file or pull EOB batches
• Identifies and informs Manager of issues or problems associated with non-payment of claims
• Contacts payors or patients as appropriate for corrective action to resolve the issues and receive payment of the claims