Billing Specialist jobs in Abilene, TX

Job Summary:

Code and post all encounters. Review all claims for accuracy and submit to appropriate insurance agency. Post incoming Explanation of Benefits and payments. Submit appeals for all denied payments.

Duties and Responsibilities

The Billing Specialist performs the following duties as assigned.

• Ensures all encounters are accounted for.
• Review each encounter for accuracy.
• Applies appropriate CPT & ICD-10 codes to encounter.
• Review each patient account prior to input to ensure that patient account represents accurate payer source.
• Answers patients’ questions concerning billing & corrects billing as needed.
• Performs demographic data entry when possible.
• Responds to patient telephone calls regarding account balances.
• Researches aging analysis report to determine if unpaid claims must be re-filed or adjusted.
• Takes necessary steps to ensure collection on unpaid claims. (Re-file, appeal, make corrections, etc.).
• Conducts collection activities from patients, carriers or recommends account balance write off.
• Immediately researches correspondence from carriers requesting a refund and provides information to Accounting Manager.
• Processes refund to carriers after obtaining approval and instructions from Accounting Manager.
• Reviews Daily Deposit to ensure accuracy and makes necessary corrections to logs.
• Applies all payments received by mail to appropriate patient accounts.
• Demonstrating flexibility, enthusiasm and willingness to cooperate while working with others in assigned inter-professional care teams to support PCMH programmatic activities.
• Participate in population management activities, as directed.
• Assist the care team by helping to measure quality and identify, refine and implement practice improvements that support the medical home, and assist in performance evaluation and quality improvement.
• Apply the principles of comprehensive, community-based, patient-centered, developmentally appropriate, and culturally and linguistically sensitive care.
• Performs all other related duties as assigned.

Knowledge, skills and Abilities

Required

• Computer experience, typing and ability to operate calculator.
• Possess the ability to work productively, either independently or with other individuals.
• Possess the ability to plan and execute work projects.
• Be able to function in emergency situations.

Preferred

• Knowledge of federal, state and non-governmental sourced insurances desirable.
• Knowledge of medical insurance billing.
• Bilingual in English and Spanish is preferred but not required.

Credentials and Experience

• Graduation from an accredited high school or equivalent.

Job Type: Full-time

Pay: $17.00 - $20.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• ICD-10: 1 year (Preferred)
• Medical Billing: 1 year (Preferred)

Ability to Relocate:

• San Angelo, TX 76901: Relocate before starting work (Required)

Work Location: Hybrid remote in San Angelo, TX 76901