Billing Specialist III

Job Description

> REF:#9374b107baaeabf3 JOB TITLE: Billing Specialist III

DEPARTMENT: Business Office

GENERAL SUMMARY OF DUTIES: Responsible for filing and tracking insurance claims for the assigned alpha split. Work Insurance and Patient Aging for complete resolution of accounts. Successfully receiving payment on all assigned claims through timely claim resolution, which includes researching and resolving insurance claim disputes, providing corrected billing, and submitting appeals. Initiative to thoroughly understand all AHI services is strongly recommended.

ESSENTIAL FUNCTIONS:

Stay current with coding and billing guidelines for all and each payer, including but not limited to CMS, Noridian Medicare, VA, Triwest, Tricare, Aetna, Premera, Cigna and other third-party payers
Professional and HIPAA compliant interactions with patients, insurance companies, Alaska Heart & Vascular Institute (AHVI) providers and staff, outside healthcare professionals and other agencies
Work the clearinghouse rejections in prompt manner
Paper claim submission with appropriate EOBs and any other required paperwork
Complete and thorough research of all claims subject to insurance dispute or review
Consistent follow through of aging reports to ensure timely payment by payers
Concise yet detailed and accurate notes in accounts and/or tickets for efficient communication with coworkers
Accurate information in accounts and tickets to maintain adequate audit trail

PAY RANGE: $23-33/HR dependent upon experience and education.

EMPLOYEE BENEFITS:

Medical
Dental
Vision
Colonial Life Elective Benefits
Life Insurance
Profit Sharing 401K
HSA
FSA
Employee Assistance Program
Wellness Program
PTO- starting at up to 5.84 hours per pay period (increases with years of service)
8 paid holidays per year
FMLA

This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Education: Preferred: Some college or continuing education preferred. Minimum: High School diploma

Experience: Minimum: Two years of experience in medical billing office with emphasis on insurance research and claim follow-up

Certificate/License: Certified Professional Biller (CPB) or Certified Coder (CPC) required from AAPC