Billing Specialist I
Dade City, FL
General Description
The Billing Specialist I processes patient and insurance billing payments for services rendered at Premier Community HealthCare Group. This position provides support in all areas of the billing department and plays a key role in maintaining accurate financial records and ensuring a positive patient financial experience.
Essential Duties & Responsibilities
- Post and reconcile payments and denials; perform daily balancing and close activities
- Work directly with patients regarding accounts and insurance claims; initiate refund requests when appropriate
- Assist with site daily balancing and preparation of bank deposits
- Escalate complex billing issues or patient concerns to leadership as appropriate
- Promote and model Premier's Core Values and service excellence
- Ensure compliance with safety, regulatory, and organizational policies
- Maintain strict confidentiality and HIPAA compliance
- Communicate issues that may impact patient flow or billing processes
- Participate in Quality Improvement / Quality Assurance (QI/QA) initiatives
- Support department goals and contribute to community engagement initiatives
- Perform other duties as assigned
Knowledge, Skills & Abilities
- General understanding of billing processes and revenue cycle procedures
- Knowledge of billing regulations and best practices
- Strong attention to detail and commitment to accuracy
- Adaptability to evolving regulations, technology, and workflows
- Professional demeanor and positive attitude
- Strong verbal and written communication skills
- Excellent grammar and interpersonal skills
- High ethical standards and strict confidentiality
- Demonstrated empathy and customer service skills when working with diverse patient populations
Qualifications
- High School Diploma or GED required
- Proficiency in computer systems and office software
- Ability to obtain and maintain Epic certification and complete annual compliance training
Working Conditions & Physical Requirements
- Ability to lift 20 lbs. regularly and 30-50 lbs. occasionally
- Ability to sit for extended periods
- Direct exposure to computer screens
- Possible exposure to contagious or infectious diseases