JOB SUMMARY

The Billing Specialist Senior works under minimal supervision and follows standard procedures and/or written instructions to perform the job duties. Responsible for monitoring accounts receivable, data entry, claims submission, follow-up, and account adjudication. Interfaces with customers/vendors, establishes & maintains positive business relationships internally and externally to ensure effective and efficient coordination of services to promote company goals. Job duties and tasks are frequently nonroutine. Resolves most questions and problems and refers only the most complex issues to higher levels. Ensures the accuracy and timeliness of these processes productive relationships will be established and maintained with a broad range of personnel within the organization, including Physicians, managers, co-workers (including any off-site location(s)), clinic/hospital colleagues, information systems and other personnel as required. In addition, the billing specialist will also establish and maintain relationships with patients, families, insurance companies, government agencies and others as necessary. May assist in orienting and training junior team members. Demonstrates teamwork to ensure achievement of team, individual and company goals.

JOB QUALIFICATIONS

Education: Completion of a high school diploma. College level courses preferred but not required.

Experience: 6 or more years third-party medical billing or medical collections experience.

Skills: In-depth knowledge of medical procedural coding (CPT/ICD10) and reimbursement. Excellent oral and written communication skills to effectively interact with internal and external customers. Applies intermediate skills. Job duties and tasks are frequently nonroutine. Resolves most questions and problems and refers only the most complex issues to higher levels. Ability to interpret and follow oral and written instructions, policies, guidelines and standards. Ability to use good judgment in the absence of formal guidelines, policies or procedures. Ability to prioritize and manage time effectively. Working knowledge of medical A/R software programs and PC skills. Close attention to detail, demonstrate competence in basic math concepts.