Billing Specialist - TEXAS HEARING INSTITUTE
Houston, TX 77021
About the Job
Job Description: Billing Specialist
Reports to: Revenue Cycle Manager
Job Purpose:
We are a pediatric non-profit organization seeking a billing specialist to join our professional team. The billing specialist will manage all matters and communications relative to insurance claims on behalf of Texas Hearing Institute.
Position Information:
Hours Weekly: 40
Monday – Thursday: 7:30 am – 5:00 pm
Friday: 8:00 am – 3:00 pm
Starting Salary: Determined by experience.
FLSA Status: Non-exempt
Benefits:
- Health & Dental Insurance
- Life Insurance
- Long Term Disability Insurance
- 403 (b) Retirement Plan
- 12 Paid Holidays
- 21 Paid Time Off Days
Major Responsibilities
- Stays focused on maximizing revenue and reducing contractual allowances/discounts/MWS and other (grants) write offs at all times
- Files all THI claims. Files all THI appeals, and corrected claims, as needed
- Handles all communications with Insurance/Medicaid provider relations re: underpayments and/or denials through to final resolution
- Enters and posts all service-related (program) payments into IMS software
- Regularly reviews all client accounts and keeps them clean, including notifying clients of balances due, issuing check requests for refunds due, or making necessary adjusting entries.
- Assists Revenue Cycle Manager in Accounts Receivable (A/R)
- Assists Revenue Cycle Manager with awareness of insurance/Medicaid policy and/or contractual changes, and notifies management and/or program directors as changes occur
- Prepare and process insurance claims timely and accurately to government, commercial and managed care payers.
- Review and distribute corrected claims
- Resolve claim edits via claim edit work queues and/or our external billing software
Other Responsibilities
- Acts as backup to THI Verification Specialist and Front Desk (Receptionist) in their absence and/or as needed
Customer Service Standards
· Support co-workers and engage in positive interactions.
· Communicate professionally and timely with internal and external customers
· Demonstrate friendliness by smiling and making eye contact when greeting all customers.
· Provide helpful assistance in anticipating and responding to the needs of our customers.
· Collaborate with customers in planning and decision making to result in optimal solutions.
· Ability to stay calm under pressure and deal effectively with difficult people
Education and Experience Requirements:
- High school diploma
- Must have three-plus years of claims (insurance billing) experience
Specific Skills:
· Knowledge and acquired usage of Microsoft standard programs; in particular, Microsoft Word and Excel
· Good communication skills, particularly with inter-departmental communications
Key Competencies
· Verbal and written communication skills
· Professional personal presentation
· Standard PC usage
· Office organization
· Reliability
Basic Competencies:
· Internet - using the internet for filing claims, gathering information, and communicating
· Spreadsheets – knowledge and ability to create, modify, and electronically transmit
· Email and fax machine knowledge and familiarity
Tools:
· Desktop computers
· Laptop computers
· iPad
· Scanner
· Fax machine
· Copy Machine
· Postage Meter
Technology:
- Internet
- Microsoft Word and Excel
- IMS (program software) – onsite training