Emerus Billing Specialist The purpose of this position is to complete the timely and accurate submission of claims (i.e. insurance companies, Medicare and Medicaid, employers, individuals, etc.) for health services provided by the company to ensure prompt payment.
Essential Job Functions Complete daily billing process and ensure successful completion
Review and correct all claims returned by the clearinghouse, payer, or from internal edits
Follow-up and investigate any billing errors returned from payers. Work with respective team members/supervisors for resolution
Suggest billing component changes as necessary for payers
Work various reports (discharge not final billed, billing exceptions, etc) to ensure accurate classification of accounts and to ensure that all accounts have been final billed
Complete billing requests from team members for submission of claims not received by the payer and corrected claims as identified
Review and update demographic/guarantor/insurance data obtained in the registration process as necessary
Track claims made by the company to ensure successful transmission and receipt
Other Job Functions Attend staff meetings or other company sponsored or mandated meetings as required
Perform additional duties as assigned
Willingness and ability to work overtime
Basic Qualifications High School Diploma or GED, required
3+ years medical billing experience, required
Expert knowledge of the UB-04/CMS-1450 claim form, required
Knowledge of state and Federal payment laws, required
Experience using a 10-key adding machine, required
Proficiency with Microsoft Office (Microsoft Word, Excel and Outlook), required
Position requires fluency in English; written and oral communication