Billing Specialist
Essential Responsibilities:
§ Prepare, review, and submit primary and secondary insurance claims in a timely manner.
§ Investigate rejected and denied claims and ensure accurate resubmission of corrected claims to insurance companies.
§ Establish professional relationships with insurance company representatives in order to facilitate effective claim follow up.
§ Utilize payer portals to determine patient eligibility and research claim status.
§ Document claim information in the EHR system.
§ Collect and process payments and post to the appropriate account within the EHR system.
§ Monitor claim submission processes to ensure compliance and timely reimbursement. Make recommendations for maximizing revenue.
§ Assist with updating EHR and billing procedures in response to changes in payer contracts and billing requirements.
§ Patient account management including regular communication with patients regarding their account, setting up payment plans, and investigating and resolving patient billing concerns.
§ Collect/confirm patient demographic and insurance information and updates as needed.
§ Assist with provider credentialing as needed.
§ Work closely with other billing specialists and clinic staff and assist when available.
§ Support the agency by attending community events as a representative of Alder Health Services.
§ Additional duties as assigned.
Qualifications:
§ Experience providing professional billing services in a medical office.
§ Knowledge of claim formatting, submission, and processing.
§ Experience navigating multiple web-based payer and provider portals.
§ Basic understanding of medical coding and terminology.
§ Understanding of laws and regulations in relation to medical billing.
§ Proficiency utilizing computer software including MS Office, electronic health records, billing software, and web-based applications.
§ Excellent customer service, follow-up, and verbal and written communication skills.
§ Strong organizational skills.
§ Understanding/experience with provider credentialing processes preferred.
§ Attention to detail.
Schedule:
Full time is Monday through Friday 8:30 – 5:00 PM. Part time, hourly position considered as well.
Initially, all hours will be in-person, at our office in Harrisburg, PA; a hybrid schedule, combining remote and in office hours, may become available following completion of the orientation and training period.
Salary:
$45, 000 - $47,000, may be negotiable based on experience and qualifications
Alder Health Services is an equal opportunity employer. We are committed to providing fair, equal, and affirming employment opportunities for all job applicants regardless of race, ethnicity, religion, national origin, sex, gender, identity, sexual orientation, age, family/marital status, disability, or any other basis protected by federal, state, or local law, ordinance, or regulation.
