The Billing Specialist position manages and executes all aspects of Third Party Payer billing and financial tracking.

Essential Functions:

• Prepares and submits clean claims to Third Party Payers.
• Maintains information on billing procedures by client.
• Researches and resolves client billing issues with Third Party Payers.
• Performs various collection actions including contacting insurance companies and resubmitting claims to the Third Party Payers.
• Follows all insurance regulations.
• Performs daily follow-up of claims, including resolution of any billing errors.
• Processes rejections and denials to determine if the claim needs to be refilled or submitted for an appeal with the Third Party Payer.
• Processes all Third Party Payer appeal requests within the time frame required by the payer.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Excellent oral, written and interpersonal communications skills.
• Consistent and regular attendance is a requirement of the position.

Non-Essential Functions/Other Duties:

• Performs any other tasks assigned by management

Supervisory Responsibility:

Not applicable.

Travel Required:

Minimal.

Physical Demands:

This is largely a sedentary role, with frequent sitting and computer keyboarding (10-key) required. Some lifting (up to 35 pounds), stooping and bending are required.

Qualifications:

Education:

• High school diploma or equivalent.
• Coursework and/or experience in medical and/or health insurance billing, medical records management.

Experience:

• At least two years of previous medical insurance, billing, or claims processing related experience.
• Experience and strong knowledge of insurance procedures, reimbursement, contracts and insurance appeal are preferred. CPT and ICD-10 certification a plus.

Skills and Competencies:

• Strong keyboarding and computer skills to include MS Office (Word and Excel) experience at an intermediate level. 10-key data entry proficiency.
• Knowledge of basic medical coding and third-party operating procedures and practices, as well as knowledge of financial concepts.
• Experience working with basic office machinery and equipment, including computers, copiers, fax machines, multi-line phone systems, etc.
• Knowledge of HIPPA privacy and security rules and regulations.
• Excellent interpersonal skills, with the ability to communicate effectively with others.
• Strong organizational skills, with the ability to multi-task and meet deadlines.
• Demonstrates initiative, with the ability to manage self and workload.
• Strong analytical and problem solving abilities. Good mathematical aptitude.
• Exemplary customer service focus, for both internal and external clients.
• Able to work both independently and be self-directed, as well as being able to perform in a team atmosphere.
• Displays professionalism and represents organization in a professional manner.
• Ability to abide by ethical guidelines and policies, including strict adherence to confidentiality and HIPPA guidelines.

Other:

• Must be 18 years old or older.
• Must be fully vaccinated (COVID-19) two weeks prior to start date

Job Type: Full-time

Pay: $16.00 - $19.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work Location: Hybrid remote in Green Bay, WI 54311

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