The Insurance Billing Specialist performs insurance billing and follow-up under supervision, demonstrating the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, Trust).
Essential duties include initial billing via paper and electronic claims, reviewing claims for accuracy, maintaining knowledge of payer requirements, checking eligibility and claim status online, and following up on outstanding balances.
They handle credit balances, ensure timely follow-up on denials and rejections, and correct and refile claims as needed.
Excellent communication skills and professionalism are essential for assisting patients with billing issues.
Additional responsibilities involve maintaining accuracy of patient information, contributing to organizational goals, and participating in shared governance.
Work involves minimal physical exertion, working in a typical office environment, with contact across various healthcare staff, patients, and insurance entities. Equipment used includes PCs, copiers, and other standard office tools. Prior healthcare insurance or clerical experience is preferred.