Billing Specialist

• Verifies that all charges, payments and adjustments are entered within three days from the date of service or receipt of payment.
• Verifies system balances on a daily basis. Notifies supervisor if entries are delayed or if systems do not balance.
• Drives process for calling insurance companies to check on benefits and verifies that correct information is in Soarian and AEMR.
• Ensures that each patient visit has a charge document for services rendered. Obtains CPT and ICD-10 codes from physician or provider when missing from charge documents.
• Answers basic questions and documents from third party payors and patients. Informs supervisor of problem issues for appropriate follow-up.
• Reviews the aging report on a weekly basis and determines reasons for unpaid balances. Initiates follow-up on accounts receivable activities according to UH accounts receivable policy.
• Maintains schedule for generation of patient statements and third party claims.
• Reviews third party billing manual for compliance and maximum reimbursement issues for the practice. Informs supervisor of coding concerns, reviews new procedures within the practice with supervisor for coding accuracy.
• Identifies methods for reducing CSA fees and implements procedures.
• Listens courteously and responds to patient questions, concerns, and/or refers to the appropriate individual.
• Assists front desk and/or patient flow as needed.
• Works with A/R (and A/R report) to retrieve unpaid charges.
• Works with operation leadership team on additional ad hoc projects
• Work with operation leadership on the creation/ management of financial reports

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.