Billing Specialist - Healthcare

BAART Programs•Lewisville, TX

About The Position

BAART Programs is looking for an organized, analytical and detail oriented Billing Specialist to manage billing processes and claims submissions. Additionally, the billing specialist is responsible for reporting expiration of patient authorizations, recording / maintaining adjustment spreadsheets, and manage assigned accounts.

Requirements

Previous physician office/hospital billing experience required (5-years’ experience preferred)
Must have strong working knowledge of Texas Medicaid, Medi-Cal, managed care and commercial Plans
Experience in medical terminology, ICD-9 coding, CPT codes, UB04 and 1500 claim forms
Must be highly proficient in Microsoft Excel.
Ability to self-manage work volume, partner with co-workers as needed, and multitask
Compliance with all billing related HIPAA policies, along with internal policies / procedures
Excellent verbal and written communication skills
Satisfactory drug screen and criminal background check

Responsibilities

Medical AR follow-up procedures to include reviewing and working aging reports, denials and insurance correspondence from various insurance carriers
Data entry of charges and billing of claims to various insurance companies
Ability to analyze, audit, and document actions taken on each account
Submit and review outstanding claims, contact insurance carrier(s) for resolution
Reconcile various accounts, post payments and initiate refund requests when appropriate
Receive and place call as necessary to resolve insurance / patient claims while maintaining the highest level of professionalism
Other duties as assigned.