Billing Specialist

• Maintains billing system database
• Identifies, analyzes and reconciles discrepancies in data
• Posts to sub ledgers
• Coordinates account eligibility with Membership areas
• Provides billing information to internal and external contacts; and first line collections
• Professional and timely oral or written communication to internal and external customers
• Fully proficient with daily tasks and is able to handle more complex billing situations with minimal guidance and provide recommendations for decision making

Senior Billing Specialist

• Oversee all Ensemble Health Partners Billing associates
• Monitor associates time and attendance, productivity, QA reviews, daily assigned workflows
• Ensure associate education is provided, complete annual evaluations
• Monitor all associates supporting paper biller and electronic biller functions for accuracy
• Empower staff to develop methods of process improvement

Billing Supervisor

• Performs all billing, correspondence, and scanning activities across the organization
• Managing client billing and ensuring procedures are billed according to contracts
• Reviewing and updating client statements as necessary
• Printing and mailing all paper and secondary claims
• Scanning documents to patient accounts
• Reviewing correspondence and following up as needed
• Meeting the mission and goals of the organization
• Meeting the regulatory compliance requirements

Physician Billing Associate Specialist

• Works daily failed bills/claims on all systems including late charges, rebills and additional billing reports
• Reviews/Updates failed bills & claims on the host system and within billing vendor
• Works daily electronic submissions (or 277's) resolving claim issues
• Monitors daily claims errors and resolutions providing recommendations on systems fixes going forward
• Bills hardcopy claims attaching any needed documentation for payment
• Pulls EOB's and Medical Records as needed attaching to claims and mailing
• Contact patients, insurance, any third party for insurance information or any additional billing data
• Creates training documents/tests
• Train and educate staff, providing testing
• Work absentee staffing desk's

Senior Physician Billing Specialist

• Process bill payments and policy changes timely and accurately.
• Meet all SLAs for the caseload.
• Maintain service levels for all Premium Accounting clients.
• Support corporate initiatives.

• Support patients with payment processing, billing education, insurance verification, and claims-related inquiries.
• Deliver empathetic, accurate, and compliant service while navigating healthcare billing systems and policies.
• Perform all payment processing and payment plan functions in addition to advanced billing, insurance, and claims support.

Patient Billing Representative

• Review case history to ensure all means to obtain reimbursement from the insurance company have been completed and verify it is appropriate to move forward with the patient billing process.
• Notify the client via email alert or work list that one of their patients is entering the patient billing process.
• Answer questions from the client regarding a patient’s case history.
• Call patients for updated insurance information.
• Call the patients to offer them financial assistance and payment plans.
• Review/approve statement balance.
• Send letters and billing statements to the patients.
• Send financial assistance applications to patients and process returned financial assistance documents.
• Comply with all Patient Billing process, system, and documentation SOPs (Standard Operating Procedure).
• Meet patient billing process time standards by completing assigned worklist tasks in a timely manner and/or reporting to management when assistance is needed to complete the tasks.
• Participate in team meetings by sharing the details of cases worked.
• Act as backup on answering incoming telephone calls as needed.
• Other duties as assigned.

Patient Billing Specialist

• Ensure strict HIPAA-compliant confidentiality with all client data and claims
• Manage and operate in multiple different billing platforms dependent on client needs which could include Azalea, Tebra, Central Reach and/or Rethink Integrated Billing Module
• Manage assigned client accounts billing scrubs for primary and secondary claims
• Submit claims electronically for primary and secondary payors
• Solve clearinghouse rejections
• Submit corrected claims for billing errors, rebill projects (new plans/new year, new information on payor policies)
• Maintain account spreadsheets, billing cheat sheets, provider, and billing information including provider roster and payer policy billing rules
• Contribute to updates and communicate to Customer Billing Advocate and other members of POD
• Provide internal reporting to team of status and issues for clients within POD
• Meet internal benchmarks for clean claims / first pass rate, unbilled claims, clearinghouse rejections, secondary claims, and denials for billing errors
• Research specific payor billing rules as needed
• Review client billing documentation to ensure claims are submitted based on payor requirements
• Stay informed about Payor and Industry Billing rules
• Foster a positive work environment for team members

• Conduct analysis and implementation of new e-billing/billing processes required by the Firm's clients
• Administration of all electronic billing clients and vendors, including documentation, training, analysis, reporting and security
• Collaborate with other departments as necessary to communicate outside counsel guidelines and e-billing requirements
• Analyze, identify, recommend and implement enhancements and reports
• Review new electronic billing requests along with New Business Intake client/matter arrangement information in the Elite billing system
• Submit electronic invoices and follow-up with Billing group and other clients or billing attorneys as assigned
• Troubleshoot and communicate issues with e-billing
• Research and recommend constructive solutions to reduce or eliminate inefficiencies
• Ensure successful transmission of invoices
• Monitor validation and payment approvals, research and problem-solve invoice rejection issues, initiate corrective measures and communicate same to Billing Specialists, Billing Attorneys, etc
• Proactively collaborate with AR Specialist regarding outstanding balances
• Appeal reductions/rejected invoices
• Assist in gathering back-up needed to accompany electronic invoices
• Research and work with Client Financial Services to keep e-billing write-downs (% deducted as e-billing fee) cleared out of the system
• Proactively report and submit new timekeepers for approval as to not delay submissions
• Annually update billing rates with electronic billing clients
• Perform billing responsibilities on an as-needed basis and based on available time

Electronic Billing Analyst

• Perform facility coding functions for ED and Observation Departments system wide
• Assign appropriate E/M code, Observation hourly charges and CPT codes
• Calculate appropriate infusion/hydration charges based on CMS guidelines

Billing Analyst III

• Performs all fiscal functions associated with billing sponsors for expenses incurred on sponsored research grants administered by The Ohio State University’s Office of Sponsored Programs.
• Provides fiscal, operational, and administrative support to the Office of Grants and Contracts, university Fiscal Officers, department Grant Managers and various project sponsors.
• Works collaboratively and develops working relationships with the Sponsored Fiscal Collections and Payment teams, the Office of Grants and Contracts, university department contacts and various project sponsors to ensure billing, reporting and grant close-out is completed accurately and timely.
• Initiates invoice write-off requests; performs grant close-out functions; may organize data for internal audit responses.

Fiscal Services Billing Analyst

• Performs all fiscal functions associated with billing sponsors for expenses incurred on sponsored research grants administered by The Ohio State University’s Office of Sponsored Programs.
• This position performs routine billing duties of large scope and complexity; performs sponsor contact maintenance, analyzes grant expenditure information; generates sponsor’s invoices and fiscal reports; prepares monthly and quarterly sponsor reports; prepares forms for letters of credit requests; provides supporting documentation for various sponsors; reconciles grant and award invoice data; initiates invoice write-off requests; performs grant close-out functions; may organize data for internal audit responses.
• Works collaboratively and develops working relationships with the Sponsored Fiscal Collections and Payment teams, the Office of Grants and Contracts, university department contacts and various project sponsors to ensure billing, reporting and grant close-out is completed accurately and timely.
• Has an expert understanding of the various Sponsors, their billing requirements, regulations, and their impact on fiscal operations.
• This position will manage award billing set-up, amendments and installment billing for their own workload and others based on business need. Functions with a high degree of autonomy.

Senior Fiscal Services Billing Analyst

• Perform all billing, correspondence, and scanning activities across the organization
• Manage client billing according to contracts
• Review and update client statements
• Print and mail all paper and secondary claims
• Scan documents to patient accounts
• Review correspondence and follow up as needed

Billing Associate Specialist

• Manage the end-to-end billing process for a dedicated group of Program clients
• Review flight activity on a daily basis
• Produce accurate customer invoices and ensure alignment with customer contracts
• Calculate and add any additional charges to invoices
• Take an active role in monitoring customer balances and maintaining accuracy

Billing Coordinator

• Manage the end-to-end billing process for Program clients
• Review flight activity daily
• Produce accurate customer invoices
• Monitor customer balances and inform Customer Services
• Respond to customer queries regarding invoices

• Manage the end-to-end billing process
• Review flight activity daily
• Produce accurate customer invoices
• Calculate additional charges or notes to invoices
• Work with sales team to approve unusual invoices
• Monitor customer balances and inform Customer Services
• Generate customer statements and respond to queries
• Create reports on flying activity and billing differences

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