Billing Specialist

• Own the end-to-end billing process across subscription and usage-based revenue
• Ensure timely and accurate invoice generation
• Manage billing queue, prioritization, and execution
• Review and resolve complex billing scenarios (proration, expansions, terminations)
• Make real-time decisions to ensure billing continues moving forward
• Reduce dependency on manual review by standardizing workflows
• Manage AR team supporting billing and collections
• Ensure work is completed accurately and on time
• Provide guidance, prioritization, and accountability
• Partner with systems teams to improve automation and workflows
• Provide feedback on process gaps and inefficiencies
• Support adoption of new tools and processes
• Identify opportunities to simplify billing workflows
• Reduce manual effort through better process design
• Improve invoice quality and reduce customer inquiries
• Track and report on key billing metrics, including billing efficiency, cycle time, and accuracy

Billing Manager

• Utilizes knowledge of insurance regulations, health insurance contracts, medical coding, and bookkeeping for revenue cycle support activities
• Medical coding, insurance verification, ensuring accuracy of information
• Preparing deposits, collecting, posting, and managing account payments
• Submitting accurate claims and following up on accounts
• Handles carrier correspondence and manages EOBs
• Provides customer service, verifies discrepancies, resolves patient billing issues

Billing Specialist II

• Ensure timely reimbursement from various third-party payors and patients
• Manage accurate account documentation in the billing system
• Pursue follow up on aged accounts while maintaining excellent customer service
• Provide support to the entire front desk and registration process

• Maintains practice management system by entering accurate data, verifying and updating insurance, and claims information
• Prepares, reviews, submits, and follows up with clean claims to various companies/individuals
• Collects, posts, and manages patient account payments
• Investigates rejected claims to see why denials were issued and correct claims
• Facilitates swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances
• Reviews and provides RCM weekly and monthly reports including productivity and financial reports
• Follows HIPAA guidelines when accessing and sharing patient information
• Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors

Billing Specialist III

• Maintains the practice management system by entering accurate data, verifying and updating insurance and claims information
• Handles carrier correspondence, manages EOBs, and keys payments received into the system
• Prepares, reviews, submits, and follows up with clean claims to various companies/individuals
• Collects, posts, and manages patient account payments
• Investigates rejected claims to see why denials were issued and correct claims
• Facilitates swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances
• Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed

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