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

• Facilitates the scheduling of endoscopy and surgical cases and related ancillary and diagnostic services, pre-operative tests, appointments and classes for all Richmond Bon Secours Mercy Healthcare locations
• Serves as front-line customer service representative for physicians’ offices for scheduling surgical or endoscopy cases and related appointments
• Collects, verifies and documents patient data to ensure accurate scheduling of surgical/endoscopic cases and related appointments
• Understands, documents and communicates special requests related to surgical/endoscopic procedures to the Surgical Scheduling Supervisor, Surgical Scheduling Team Lead or directly to the OR as appropriate
• Identifies special circumstances that require intervention by additional resources or entities (ex: equipment or scheduling conflicts)
• Confirms next day scheduled cases with providers’ offices and makes updates to schedule as needed

Scheduling & Billing Specialist

• 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

• Prepare and process client invoices in the firm's PSA/ERP billing system
• Run and distribute billing reports; research prior invoices and billing history as needed
• Assist partners and bill managers with billing inquiries and workflow support
• Maintain data integrity in client management systems, including client information and time entry records
• Support new hire onboarding on time entry procedures and billing workflows
• Develop and maintain collaborative working relationships with colleagues and internal stakeholders
• Keep the Billing Team Lead informed of potential issues, discrepancies and deadline challenges
• Perform other duties as assigned to support the overall billing function

Billing Specialist jobs in Virginia

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

Billing Specialist II

Scheduling & Billing Specialist

Key Account Billing Specialist – Healthcare

Billing Coordinator