Billing Specialist

Detailed Information

Billing Specialist Full-Time
Job Posting – Correction

Job Summary:

Under the supervision of the Billing Manager, performs billing and collections functions necessary to process Medicare, Commercial Insurance, Medicaid, MCH/DOH, and Self Pay claims.  Performs collection activities on outstanding accounts receivable.  Research previously uncollectible accounts and re-process as required to collect payment.  Responsible for filing, data entry, telephone work, and generating billing & reports as directed.  The Billing Specialist reports to the Billing Manager.

Standard I – Functions

  1. Generates, assembles and processes documentation necessary for the timely submission of assigned claims.
  2. Posts payments received and records adjustments.
  3. Using established collection procedures, follows up in resubmitting claims as required.
  4. Submit uncollected accounts to collection agency, small claims court, or write off after the review and discretion of the Billing Manager and Chief Executive Officer.
  5. Negotiates contract rates for non-participating provider insurance with approval of the Billing Manager and Chief Financial Officer.
  6. Serves as an alternate for other Billing Specialists in their absence.
  7. Performs related tasks as assigned by the Billing Manager, Chief Financial Officer and Chief Executive Officer.

Standard II – Education and Experience.

  1. High school graduate with some business courses.
  2. One year experience with third party billing or collection experience.

Standard III – Qualifications

  1. Computer literate.
  2. Ability to work within a reasonable time frame to meet critical deadlines with accuracy.
  3. Ability to type and operate typical office equipment. Some Medical terminology helpful.
  4. Ability to organize, assemble, file and maintain accurate detailed records.
  5. Ability to maintain confidentiality.
  6. Working knowledge of policies and procedures.
  7. Ability to meet and deal effectively and diplomatically with agency personnel and the public. Neat and professional in appearance, reliable and trustworthy.

 

Job Specifications

Full time.  Benefit eligible.

Hours:  8:30 AM – 5:00 PM, Monday through Friday

Portsmouth office.

 

All applications should be sent to HR

via email:  dpagliaro@visititingnursehh.org

or

via fax to 401-682-7562.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REQ# 2022-014