Billing Specialist

• Coordinates and facilitates patient billing and collection activities
• Processes payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications
• Researches payments, denials, and accounts
• Builds strong working relationships with assigned business units

PFS Representative, CBO Billing, Follow-up, Denials Management

• Supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system.
• Tracks all high dollar claims from charge entry to payment and resolves complex carrier issues.
• Actively follows up on outstanding complex claims/or charges.
• Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
• Assists the auditor in reviewing notes for medical necessity.
• Works with the authorization department to resolve authorization issues with complex procedures.
• Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.
• Contacts the various Provider Service Representatives to resolve repetitive payment issues.
• Acts as a resource for the Billing Staff for complex issues.
• Analyzes and resolves billing issues, keeping A/R to no more than 10% over 60 days.
• Processes daily correspondence, claim status, handle denials, appeals and re-bills.
• Answers billing questions and inquiries from patients and internal staff.
• Updates patient files with address changes, contact information changes, etc., as needed.
• Reviews all policy changes on a regular basis and informs supervisor and charge entry specialist of such changes.
• Efficiently navigates assigned insurance companies' proprietary websites to find policies, research payments, etc.
• Keeps supervisor apprised of matters regarding accounts receivable.
• Responds to requests from billing company in a timely fashion.
• Researches denials and submits correct claims/medical documentation.
• Reviews and manages claims within the work dashboard hold buckets for resolution.
• Creates, maintains and updates reports, as directed.
• Exercises confidentiality in all areas, abiding by HIPAA rules and regulations.
• Helps train new revenue cycle staff.
• Collects and reviews end of day reports.
• Checks work e-mail on a regular basis throughout the workday.
• Participates in and completes all required trainings and in-services.
• Performs other duties as assigned.

Billing Specialist II

• Responsible for the development of strategies aimed at reducing addressable bad debt
• Partner with internal and external stakeholders to implement process improvements
• Direct interfacing with clients and/or Sales to address outstanding client balances
• Coordinate and work with Corporate Billing on customer facing initiatives
• Provide billing training to phlebotomists, Sales, and clients
• Work with clients and divisional employees to resolve billing issues
• Conduct comprehensive client audits to assess denials
• Engage and provide leadership for monthly sales meetings

Key Account Billing Specialist – Healthcare

• Support utility billing services within our software platform
• Process client billing data, validate account information, and resolve billing discrepancies
• Ensure accurate and timely invoicing for utility services such as water, wastewater, recycle, waste or municipal services
• Process and maintain utility billing usage data within the company's software platform
• Review billing data for accuracy, completeness, and compliance with client requirements
• Import usage data, calculate, validate and post utility bills with the EGT application
• Collaborate with Customer Support, and Development teams to troubleshoot billing-related system issues
• Support month-end and year-end billing activities and reporting
• Monitor billing workflows and identify opportunities for process improvement and automation
• Ensure compliance with applicable utility regulations, company policies, and data security standards

Utility Billing Specialist

• Prepare and review monthly invoices according to company guidelines utilizing financial reports to ensure compliance with deliverable deadlines.
• Analyze unbilled receivables monthly against standard reports, research and resolve a variety of internal and external customer inquiries concerning billing status.
• Initiate communications with internal customers to resolve billing discrepancies and collection issues.

Associate Billing Analyst

• Monitor the eBilling HUB and e-billing vendor sites to ensure client setups are completed accurately and invoice rejections are resolved in a timely manner.
• Collaborate with the Client Account Specialists, Assistants, and Matter Supervising Partners to resolve discrepancies related to all aspects of electronic billing.
• Prepare standard and ad hoc reports utilizing various applications and reporting tools.
• Research and respond to client inquiries.
• Modify LEDES, XML files when necessary.
• Work closely with client e-billing contacts to ensure accurate and timely set-ups.
• Provide recommendations and feedback to e-billing management to improve e-billing and billing processes.
• Assist with special projects as directed by the e-Billing Manager, and other duties as specified.
• Review all e-billing requirements and client billing guidelines.
• Communicate with all levels of the business and the firm’s clients regarding e-billing.
• Work closely with the International team as needed on e-billing issues.
• Support Collections activities regarding e-billing issues.
• Complete special assignments given by the e-Billing Manager.
• Demonstrate knowledge and adherence to basic firm policies, procedures, and processes.

Electronic Billing Analyst

• Communicate effectively to resolve discrepancies
• Process and maintain membership data
• Perform billing and accounts receivable activities
• Create and distribute membership materials

Billing Specialist jobs in Maryland

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