Billing Specialist 2
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Job Description
Billing Specialist 2 handling billing of patient services at Gateway Rehab Center. Responsible for claims generation, accounts receivable monitoring, and financial reporting with minimal supervision.
Responsibilities:
- Processes, edits, audits and posts service entries into the EHR.
- Generates clean claims, invoices and patient bills for services provided to all patients based on third party payer criteria.
- Monitors and collects outstanding accounts receivable and performs investigation and follow-up on open balances.
- Reviews Explanation of Benefits/Remittance Advices for correct payment, copays, deductibles and denials.
- Tracks, analyzes, and reports monthly to director regarding composition of outstanding accounts receivable, determining collectability and internal and external issues concerning receipt of payment.
- Participates in the monthly closings and provides data and analysis for all payers.
- Communicates with the utilization review department regarding authorizations issues and inquires.
- Completes necessary processes for adjustments, write-offs, charity care and refunds.
- Contacts Patient Benefit Coordinators, outpatient administrative support staff, therapists, and insurance companies for problem resolution with funding sources or patient services.
- Maintains interdepartmental reports for patient accounts and collections.
- Communicate with third party Collection Management Company and patients concerning self-pay balances or billing issues.
- Assists in the FY audits.
- Communicates with the Medical Records department for applicable data required for patient appeals and denials.
- Works on special projects as needed.
- Attends mandatory Gateway training and in-services.
Requirements:
- High School diploma or equivalent required.
- At least three years of billing experience in a healthcare setting.
- Pass a PA Criminal Background Check.
- Obtain PA Child Abuse and FBI Fingerprinting Clearances.
- Pass Drug Screen.
- 2-Step TB Test.
Benefits:
- Favorable working conditions.
- Work from home.
- Minimal physical demands.
- Significant mental demands include routine decision making, continuous attention to detail and high mental and visual concentration.
- Accuracy is critical in this position as errors may result in serious loss of revenue and delay of payments.
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