The Clinic Billing Specialist is responsible for computer and billing systems, for electronic insurance processing and follow-up, & for setting up payment plans and handling collection activities.

The Billing Specialist reports directly to the Director of Clinic Financials.

1. Billing all primary and secondary claims as assigned for all clinics daily reports as
    assigned.

2. Work remittance advices for denials and possible resubmission or corrected
    claims.

3. Respond to patient phone inquiry as needed. Reconcile the account and
    understand what the balance consists of (i.e. deductible, co-insurance, co-pay, etc.).

4. Follow up with insurance payers on claim resolution to have accounts resolved in
    a timely manner to either zero or self-pay balance.

5. Process credit balances as assigned.

6. Document in Meditech system an action taken on patient’s account.

7. Set up payment plans and/or collect self-pay balances on patient accounts.

8. Other Duties as assigned.

1. Education:
  a.) High School education or equivalent with on-the-job training for Clinic specific systems.
  b.) Added training in data processing, computer systems and typing is desired.

2. Licensure/Certification:
  a.) N/A

3. Work Experience:

  a.) Prefer two to three years’ experience in data processing systems and Medical Office Insurance preparation.