LBU Community Clinic

JOB SUMMARY

The Billing Specialist is responsible for the billing of healthcare claims and tracking of revenue from patient encounters to the payment of balances.

JOB FUNCTIONS

• Performs daily claims billing and ensures claims meet individual payer claim requirements.
• Monitors invoice workload daily to ensure invoices are processed in a timely manner.
• Ensure pertinent information is coded appropriately for consistency and accuracy.
• Verifies payments posted for underpayments, overpayments, denials, reversals, etc.
• Reviews and appeals unpaid and denied claims.
• Communicates with insurance payors and self-pay patients regarding claim payments. 
• Monitors the aging of the AR and provides collection efforts of delinquent accounts.
• Answers phone calls and responds to billing inquiries. 
• Researches and resolves billing disputes and handles more complex issues.
• Verifies patient insurance coverage and determines next steps for collection.
• Reports to management any trends and/or issues identified with payers.
• Opens, sorts, and routes incoming mail, answers correspondence, and prepares outgoing mail.
• Maintains revenue cycle document filing.
• Maintains all third-party billing for accounts payable (e.g., lab services).
• Generates revenue cycle reports.
• Performs other duties as assigned by management. 

 MINIMUM QUALIFICATIONS:

• Education:  
  • Associate Degree preferred
• Specialized Training/Certifications/Licenses:
  • Certified Professional Coder Certification (CPC) preferred
• Experience:
  • 5 yrs. Insurance Billing work; or
  • 3 yrs. Insurance Billing work + CPC; or
  • 2 yrs. Insurance Billing work + Associate Degree; or
  • 1  yr.  Insurance Billing work + Associate Degree + CPC; or
  • 0 yrs. Insurance Billing work + Bachelor’s Degree in Accounting or related field.
• Knowledge: 
  • Basic understanding of ICD, CPT, and HCPC coding preferred
  • Nextgen Practice Management, a plus
  • Fluent in Spanish, a plus.
• Skills: 
  • Basic Computer Literacy
  • Proficient with Microsoft Office (Word, Excel)
  • Cooperation
  • Numerical Facility
  • Attention to Detail
• Abilities: 
  • Must be able to speak, read, write, and comprehend the English language.
  • Must be able to bend or stoop.
  • Must be able to lift 20 lbs. unassisted
• Other:  
  • Must be able to maintain required immunizations as required by the organization.