Job description

The Billing Specialist for Ascension Depaul Services serves as a technical resource on billing questions. The Billing specialist performs a wide variety of specialized tasks involved in billing and collection efforts for Medical, Behavioral Health, Dental, Pharmacy, and Optometry services rendered. This position collects and enters claim information, post insurance payments and manages insurance and patient accounts. The Billing specialist will Submit claims and follow-up with insurance carriers on unpaid or rejected claims; answer patient inquiries or account status and charges.

Reports to : Central Business Office Supervisor

Knowledge, Skills and Abilities:
Required:
High School diploma or equivalent

5 years of experience with healthcare accounts and working with an automated Billing system.

Knowledge of Billing rules and procedures

Knowledge of Medical Terminology

Knowledge of healthcare industry financial information

Working knowledge of MS Office, especially MS Excel and Office Docs.

Ability to maintain confidentiality of all patient related information

Ability to multitask, work independently, work under pressure, and handle interruptions while maintaining flexibility in work assignments

Ability to communicate effectively and interact with diverse personalities while maintaining a professional attitude

Ability to ensure a high level of accuracy and attention to detail on all assignments

Preferred:
CPC

eCW Electronic Medical Records

CORE VALUES:
Service of the Poor- Employee demonstrates generosity of spirit, especially for persons most in need.

Reverence - Employee demonstrates respect and compassion for the dignity and diversity of life.

Integrity - Employee inspires trust through personal leadership.

Wisdom - Employee integrates excellence and stewardship into execution of job duties.

Creativity- Employee demonstrates courageous innovation.

Dedication - Employee affirms the hope and joy of the Daughters of charity mission.

Job Duties and Responsibilities:
Interprets 3rd party billing requirements and other technical issues related to accounts in eCW.

Research and solve payment discrepancies and report them out to the billing Supervisor.

Document statuses on a claim(s) in the system that require follow up.

Continually evaluate opportunities to improve efficiency and effectiveness when resolving issues.

Assist in follow up on all claim statuses and ERA payer denials.

Communicates professionally and answers and responds to phone inquiries from Patients and Payers.

Serves as a resource to staff, patients, and third party payer on billing issues.

Search and download Payment remittance for Dental, Medical and Optometry

Post all ERAs and work the claim to it is a zero balance (All contractuals must be posted).

Work all EFTS that are unidentified.

Scan all EOBS in system when applicable

Perform other job duties as assigned.

Cross training is required for all specialities

We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected

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