Commercial Insurance Billing and Follow Up

Responsible for accurately and efficiently processing claims and invoices. Job Duties Prepare bills and invoices for medical services and treatments received Manage the billing for commercial insurance and managed care payers Perform billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissions Utilize all resources available, including electronic inquiries to verify eligibility, benefits and claim status Exercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online system Maintain claims tracking for the worker’s compensation and motor vehicle billing program Provide support for the department and assist with special projects, as assigned Demonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary Adhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc.) Performs other duties as assigned.

Qualifications and Skills Excellent customer service skills and problem solving skills. Strong analytical and organizational skills. Ability to interact with varying cultures and a diverse population.

Basic computer skills. Bi-lingual in Spanish preferred. Education, Experience and Certification/Licensure Requirements H.

S. Graduate or equivalent 1-2 years’ experience in a customer relations driven industry preferred Prior billing experience a must.