Billing Specialist

  • Quick Med Claims.com
  • Pleasant Hills, PA, USA
  • Apr 10, 2019
Full time Insurance Medical/Health Care

Job Description

Job Purpose/Summary

Under the direction of the Account Manager, the Billing Specialist performs a wide variety of duties to ensure medical transportation claims are submitted in a timely and compliant manner. These tasks include, but are not limited to the following:

  •  Review patient medical records and supporting documentation
  • Add required data elements to the account in RescueNet including ICD9 code, charges and billing narrative

  • Follow up with insurance carriers on the status of past due accounts

  • Contact patients, hospitals, attorneys and other parties to obtain insurance information

  • Review claims that have been denied by insurance carriers and submit corrected claims or appeals as necessary.

  • Ensure all tasks are completed according to Quick Med Claims policies as well as state and federal guidelines.

Essential Duties & Responsibilities

Demonstrates commitment to service excellence by …

 Meeting or exceeding defined productivity standards of the position

  • Responsible for properly notating accounts reviewed.
  • Responsible for attaching necessary documentation within the system or to paper 1500’s.
  • Calling patients, facilities, insurances, and attorneys as needed to research claims.
  • Verify patient’s insurance information utilizing various resources such as websites, telephone, IVR, and provider CSR’s when applicable.

Minimum Qualifications

Education:

High school diploma or equivalent

Experience:

Minimum of 1 year of billing and coding experience

Knowledge, Skills, Abilities:

Must be able to type 35 wpm

Basic computer skills including ability to utilize multiple windows and programs simultaneously

Customer service oriented

Attention to detail and focus on quality

Organizational skills

Must display sufficient written and oral communication skills

Must have the ability to work in a fast paced environment

Must have the ability to work with minimal supervision