HFMA Texas Gulf Coast Chapter

Billing Specialist

• Review details of an account to determine if insurance was previously filed and determine if claims filing is necessary.
• Clear documentation of account findings and ensure the account is pushed through the designed workflow.
• Communication with clients regarding claims updates on payments, adjustments, or denials.
• Ability to work in client systems to confirm accounts are being handled accordingly by our providers.
• Eligibility review through online portals.
• Audit non-insurance desks for accounts that should have been reviewed by the insurance team.
• Knowledge of carrier-specific timely filing for the claims process and eligibility requirements.
• Ability to communicate with insurance carriers and identify claim issues.
• Ability to communicate with patients on their involvement to ensure claims can be paid.
• Daily accounts worked requirements min. 125

Billing and Insurance Specialist