About this opportunity
Aya Healthcare lists this Billing Specialist opportunity in rolla, Missouri. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Billing Specialist I
The Billing Specialist I is responsible for collecting and entering claims, posting insurance, submitting claims, and answering patient inquiries on accounts. Reports to the Billing Supervisor.
Essential Duties and Responsibilities
Enters information necessary for insurance claims such as patient, insurance, and insurance ID. Insures claim information in complete and accurate.
Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form.
Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. Resolves patient's complaints or explains why certain services are not covered.
Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.
Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter.
Follows HIPAA guidelines in handling patient information.
May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.
Understand managed care authorizations and limits to coverage such as number of visits.
Verify patient benefits eligibility and coverage as needed.
Prepares and submits secondary claims upon processing by primary insurer.
Standards of Behavior
Integrity: I believe in being personally accountable for doing what is always right.
Compassion: I believe in acting on the empathy felt toward the needs of patients and families.
Innovation: I believe in being inspired to provide care in new and creative ways.
Philanthropy: I believe in being a good steward of the gift of time, deeds and resources for our patients and community.
Job Qualifications
Education: High School Diploma or GED required.
Work Experience: Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred.
Certification/License: N/A
Mental/Physical Requirements
Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds.
Working Conditions
Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.
Worksite address
rolla, MO, 65401, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.