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in Columbus, OH
Billing Specialist
•Today
Estimated Pay | $20 per hour |
---|---|
Hours | Full-time, Part-time |
Location | Columbus, Ohio |
Compare Pay
Estimated Pay We estimate that this job pays $20.25 per hour based on our data.
$15.32
$20.25
$26.81
About this job
Job Description
Job Description
SUMMARY
This Billing Specialist position is responsible for correcting, completing, and processing service claims for all payer types. He / She is also required to generate reports from both the billing system and the clearinghouse system in accordance with established procedures. This person has public contact of a limited scope, involving routine and standard information exchange with payers, the clearinghouse, client responsible parties and other employees when necessary. This person reports to the Billing Manager.
GENERAL RESPONSIBILITIES
- Contributes to creating a welcoming and inclusive environment for our clients, colleagues and community partners from diverse backgrounds and experiences.
- Integrates principles of Trauma Informed Care in all aspects of work.
- Is sensitive to the children’s culture and socioeconomic characteristics that delivers the best possible care to the youth and families served.
MEDICAL BILLING
- Weekly review of all validation reports before claim submission.
- Send electronic billing file(s) for all claim payers on weekly basis or other time frame as established by the Finance Team.
- Weekly rework claim errors on all payers in order to expedite payment of the erroneous claims.
- Enroll new and returning clients with local board(s) to gain access to public funding for service payment.
- Upload electronic payment files, reviewing and working unpaid claims.
- Enter cash receipts and assure correct allocations and distributions in accordance with the established protocol.
- Adhere to monthly closing schedules set by the Finance team.
- Identify unbilled claims (on a weekly basis) and expedite the billing to avoid non-payment due to untimely filing (know the payer limitations.
- Locate missing Explanation of Benefits (EOB’s) for commercial insurance to appropriately move balances to the next payer.
- Rebill or re-adjudicate unpaid claims in all payer systems.
- Download / upload appropriate payer reports.
- Work with staff to enroll in payer networks.
- Other duties as assigned or requested.
EDUCATION BILLING
- Facilitates the enrollment of families in non-public school educational funding programs.
EDUCATION & EXPERIENCE
- High School diploma or equivalent is required.
- Minimum of 3-years billing experience is required.
TECHNICAL SKILLS
- Strong computer skills to include proficiency with Microsoft Office Suite (i.e. MS Word, Excel and Access).
- The ability to research and analyze various different types of data information.
- Ability to use standard office equipment such as copy/fax machines and printers.