Senior Physician Billing Specialist
Ensemble Health Partners
Job Level
JuniorMid-Level
About the role
- Reports to: Accounting Manager
- Support the accounting and client success team with clerical, administrative, and financial tasks
- Primarily responsible for monitoring and issuing patient refunds
- Ensure accuracy and efficiency in financial operations including accounts payable, accounts receivable, general ledger entries, and reconciliations
- Process, research, and resolve credit balances, refunds, and overpayments per contracts, compliance standards, and timely filing guidelines
- Review and process patient refund requests including check issuance, reporting, and reconciliation with billing system overages
- Contact insurance carriers and navigate payer websites to obtain Explanation of Benefits (EOBs) and verify refund details
- Monitor and follow up on outstanding checks, billing issues, and discrepancies; research and resolve patient, client, and internal inquiries
- Analyze data from reports, identify trends, and communicate findings or recommendations to appropriate departments
- Assist with accounts payable (AP), accounts receivable (AR), and bank/credit card reconciliations
- Support preparation of financial reports and ensure compliance with company policies, accounting standards, and regulatory guidelines
- Perform special projects and other duties as assigned
Requirements
- High School Diploma or GED
- Two (2) years of experience (24 months)
- Reading insurance Explanation of Benefits (EOB) statements preferred
- Posting insurance payments in a healthcare setting
- Serving in healthcare finance, accounting, treasury or related field
- Knowledge of Explanation of Benefits (EOB) statements and a variety of insurance plans
- Strong knowledge in accounting, finance, and/or bookkeeping (1–3 years preferred)
- Advanced proficiency in Microsoft Excel
- Strong skills in QuickBooks Desktop, word processing, spreadsheets, and database software
- Strong mathematical skills (addition, subtraction, multiplication, division, fractions, decimals, percentages)
- In-depth understanding of accounting and billing principles
- Ability to read, interpret, and apply state/federal laws, regulations, company policies, and procedures
- Strong organizational and time-management skills with ability to prioritize and meet deadlines
- Excellent oral, written, and interpersonal communication skills
- Ability to handle confidential information with integrity and high attention to detail and accuracy
- Strong research and problem-solving skills with initiative to troubleshoot and develop innovative solutions
- Flexibility to work collaboratively under general supervision while delivering high-quality service excellence
