Kaizen Lab Inc.
Job Description:
Billing Specialist
Reports to:
Senior Revenue Cycle Manager
Job Purpose:
We are a pediatricnon-profit organization seeking a billing specialist to join our professional team.The billing specialist will manage all matters and communications relative toinsurance claims on behalf of Texas Hearing Institute.
Position Information:
Hours Weekly: 40
Monday – Friday: 8:00 am – 5:00 pm
Starting Salary: Determined by experience.
FLSA Status: Non-exempt
Benefits:
Health & Dental Insurance
Life Insurance
Long Term Disability Insurance
403 (b) Retirement Plan
12 Paid Holidays
21 Paid Time Off Days
Major Responsibilities
Stays focused on maximizing revenue and reducing contractualallowances/discounts/MWS and other (grants) write offs at all times
Files all THI claims.
Files all THI appeals, and corrected claims, as needed
Handles all communications with Insurance/Medicaid providerrelations re: underpayments and/or denials through to final resolution
Enters and posts all service-related (program) payments intoIMS software
Regularly reviews all client accounts and keeps them clean,including notifying clients of balances due, issuing check requests forrefunds due, or making necessary adjusting entries.
Assists Senior Revenue Cycle Manager in Accounts Receivable (A/R)
Assists Senior Revenue Cycle Manager with awareness ofinsurance/Medicaid policy and/or contractual changes, and notifiesmanagement and/or program directors as changes occur
Prepareand process insurance claims timely and accurately to government,commercial and managed care payers.
Reviewand distribute corrected claims
Resolveclaim edits via claim edit work queues and/or our external billingsoftware
Other Responsibilities
Acts as backup to THI Verification Specialist and Front Desk(Receptionist) in their absence and/or as needed
Customer Service Standards
Support co-workers and engage in positiveinteractions.
Communicate professionally and timely withinternal and external customers
Demonstrate friendliness by smiling and makingeye contact when greeting all customers.
Provide helpful assistance in anticipating andresponding to the needs of our customers.
Collaborate with customers in planning anddecision making to result in optimal solutions.
Ability to stay calm under pressure and dealeffectively with difficult people
Education and Experience Requirements:
High school diploma
Must have three-plus years of claims (insurance billing)experience
Specific Skills:
Knowledge and acquiredusage of Microsoft standard programs; in particular, Microsoft Word and Excel
Good communication skills,particularly with inter‑departmental communications
Key Competencies
Verbal and written communicationskills
Professional personalpresentation
Standard PC usage
Office organization
Reliability
Basic Competencies
Internet- using the internet for filing claims, gathering information, andcommunicating
Spreadsheets– knowledge and ability to create, modify, and electronically transmit
Emailand fax machine knowledge and familiarity
Tools:
Desktopcomputers
Laptopcomputers
iPad
Scanner
Faxmachine
CopyMachine
PostageMeter
Technology:
Internet
MicrosoftWord and Excel
IMS(program software) – onsite training
#J-18808-Ljbffr
Billing Specialist
Reports to:
Senior Revenue Cycle Manager
Job Purpose:
We are a pediatricnon-profit organization seeking a billing specialist to join our professional team.The billing specialist will manage all matters and communications relative toinsurance claims on behalf of Texas Hearing Institute.
Position Information:
Hours Weekly: 40
Monday – Friday: 8:00 am – 5:00 pm
Starting Salary: Determined by experience.
FLSA Status: Non-exempt
Benefits:
Health & Dental Insurance
Life Insurance
Long Term Disability Insurance
403 (b) Retirement Plan
12 Paid Holidays
21 Paid Time Off Days
Major Responsibilities
Stays focused on maximizing revenue and reducing contractualallowances/discounts/MWS and other (grants) write offs at all times
Files all THI claims.
Files all THI appeals, and corrected claims, as needed
Handles all communications with Insurance/Medicaid providerrelations re: underpayments and/or denials through to final resolution
Enters and posts all service-related (program) payments intoIMS software
Regularly reviews all client accounts and keeps them clean,including notifying clients of balances due, issuing check requests forrefunds due, or making necessary adjusting entries.
Assists Senior Revenue Cycle Manager in Accounts Receivable (A/R)
Assists Senior Revenue Cycle Manager with awareness ofinsurance/Medicaid policy and/or contractual changes, and notifiesmanagement and/or program directors as changes occur
Prepareand process insurance claims timely and accurately to government,commercial and managed care payers.
Reviewand distribute corrected claims
Resolveclaim edits via claim edit work queues and/or our external billingsoftware
Other Responsibilities
Acts as backup to THI Verification Specialist and Front Desk(Receptionist) in their absence and/or as needed
Customer Service Standards
Support co-workers and engage in positiveinteractions.
Communicate professionally and timely withinternal and external customers
Demonstrate friendliness by smiling and makingeye contact when greeting all customers.
Provide helpful assistance in anticipating andresponding to the needs of our customers.
Collaborate with customers in planning anddecision making to result in optimal solutions.
Ability to stay calm under pressure and dealeffectively with difficult people
Education and Experience Requirements:
High school diploma
Must have three-plus years of claims (insurance billing)experience
Specific Skills:
Knowledge and acquiredusage of Microsoft standard programs; in particular, Microsoft Word and Excel
Good communication skills,particularly with inter‑departmental communications
Key Competencies
Verbal and written communicationskills
Professional personalpresentation
Standard PC usage
Office organization
Reliability
Basic Competencies
Internet- using the internet for filing claims, gathering information, andcommunicating
Spreadsheets– knowledge and ability to create, modify, and electronically transmit
Emailand fax machine knowledge and familiarity
Tools:
Desktopcomputers
Laptopcomputers
iPad
Scanner
Faxmachine
CopyMachine
PostageMeter
Technology:
Internet
MicrosoftWord and Excel
IMS(program software) – onsite training
#J-18808-Ljbffr