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Billing Specialist
Gateway RehabBilling Specialist managing patient services billing and accounts receivable for Gateway Rehabilitation Center. Handling claims, payments, audits, and collaborating with other departments, requiring strong detail orientation.
About the role
Key responsibilities & impact- Processes, edits, audits and posts service entries into the EHR.
- Generates clean claims, invoices and patient bills for services provided to all patients based on third party payer criteria.
- Monitors and collects outstanding accounts receivable and performs investigation and follow-up on open balances.
- Reviews Explanation of Benefits/Remittance Advices for correct payment, copays, deductibles and denials.
- Tracks, analyzes, and reports monthly to director regarding composition of outstanding accounts receivable, determining collectability and internal and external issues concerning receipt of payment.
- Participates in the monthly closings and provides data and analysis for all payers.
- Communicates with the utilization review department regarding authorizations issues and inquires.
- Completes necessary processes for adjustments, write-offs, charity care and refunds.
- Contacts Patient Benefit Coordinators, outpatient administrative support staff, therapists, and insurance companies for problem resolution with funding sources or patient services.
- Maintains interdepartmental reports for patient accounts and collections.
- Communicate with third party Collection Management Company and patients concerning self-pay balances or billing issues.
- Assists in the FY audits.
- Communicates with the Medical Records department for applicable data required for patient appeals and denials.
- Works on special projects as needed.
- Attends mandatory Gateway training and in-services.
Requirements
What you’ll need- High School diploma or equivalent required
- Minimum of one year billing experience
- Pass a PA Criminal Background Check
- Obtain PA Child Abuse and FBI Fingerprinting Clearances
- Pass Drug Screen
- 2-Step TB Test
Benefits
Comp & perks- Favorable working conditions
- Minimal physical demands
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingaccounts receivableEHRclaims processinginvoice generationpayment analysisadjustmentswrite-offscharity careauditing
Soft Skills
communicationproblem resolutionanalytical skillsattention to detailinterdepartmental collaboration
Certifications
High School diplomaPA Criminal Background CheckPA Child Abuse ClearanceFBI Fingerprinting ClearanceDrug Screen2-Step TB Test