Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
The Billing Specialist is responsible for all aspects of billing Medical, Dental, Behavioral Health and Optometry claims in a FQHC setting. The Billing Specialist, a key position in the Revenue Cycle, facilitates the claims process, including accurate and timely claim creation, follow-up, and correspondence with providers, third party payors and patients. The incumbent will assist in the clarification and development of process improvements and inquiries to maximize revenues.
Work is typically performed in an office environment, with participation in customer/community services activities as needed. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.
Knowledge, Skills, and Abilities
Qualifications/Education Requirements
High school diploma or GED certificate required. 2 years in FQHC billing or 5 or more years in physician or hospital billing of accounts receivable. Experience in medical billing/coding preferred. Excellent computer skills and a familiarity with ADA, CPT, and ICD-10 coding is required. Certified Professional Coder (CPC) certification desired.
Core Competencies
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0 Enrollment & Billing Representative jobs found in Biloxi, MS area