Job Description
The Billing Specialist is responsible for accurately and efficiently processing billing and invoicing tasks. This role plays a critical part in revenue management and ensures timely and accurate submission of invoices, monitors payment statuses, and resolves any billing discrepancies.
Tasks (Including but not limited to)
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- Generate and prepare accurate invoices for products or services provided by the company.
- Verify billing information, including pricing, quantities, and applicable discounts or promotions.
- Review and reconcile customer accounts to ensure accurate billing and payment records.
- Collaborate with internal teams, such as sales and customer service, to gather necessary billing information and resolve billing-related inquiries.
- Monitor and track payment statuses, follow up on outstanding invoices, and initiate collection activities when necessary.
- Investigate and resolve billing discrepancies or disputes, working closely with customers and internal stakeholders to reach satisfactory resolutions.
- Maintain accurate and up-to-date billing documentation, including invoices, receipts, and payment records.
- Provide excellent customer service by promptly responding to billing inquiries and addressing customer concerns or complaints.
- Ensure compliance with billing policies, procedures, and regulatory requirements.
- Contribute to process improvement initiatives by identifying areas for enhanced efficiency and effectiveness in the billing process.
A/R Aging Cleanup Focus
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A/R Aging Analysis & Cleanup
- Review and analyze aged accounts receivable reports to identify outstanding balances.
- Investigate and resolve unpaid claims and patient balances over 30, 60, 90+ days.
- Prioritize high-dollar and high-impact accounts for resolution.
Revenue Cycle Management (RCM)
- Monitor the full revenue cycle process from charge capture to final payment.
- Collaborate with billing, coding, and collections teams to ensure accurate and timely reimbursement.
- Identify trends and root causes of revenue leakage and recommend process improvements.
Payment Posting
- Accurately post insurance and patient payments, adjustments, and denials into the billing system.
- Reconcile daily deposits and electronic remittance advice (ERA) files.
- Ensure proper application of contractual adjustments and write-offs.
Denial Management
- Analyze and categorize claim denials to determine root causes.
- Initiate appeals and resubmissions for denied or underpaid claims.
- Track and report denial trends to management for process improvement.
Insurance Follow-Up
- Conduct timely follow-up with insurance payers to resolve unpaid or underpaid claims.
- Communicate effectively with payer representatives to clarify claim status and resolve discrepancies.
- Maintain documentation of all follow-up activities in the billing system.
Compliance & Documentation
- Ensure all activities comply with HIPAA, payer guidelines, and internal policies.
- Maintain accurate and detailed notes on account activity and resolution steps.
- Assist in audits and provide documentation as needed.
Reporting & Metrics
- Generate and interpret A/R aging and denial reports to track performance.
- Provide regular updates to leadership on cleanup progress and outstanding issues.
- Support month-end and year-end closing processes related to A/R.
Work Activities
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- Generating and preparing invoices
- Verifying billing information
- Reviewing and reconciling customer accounts
- Collaborating with internal teams for billing information
- Monitoring payment statuses and initiating collections
- Resolving billing discrepancies or disputes
- Maintaining accurate billing documentation
- Providing customer service for billing inquiries
- Ensuring compliance with billing policies and regulations
- Contributing to process improvement initiatives
Qualifications
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Experience
- Minimum of 1 year of experience in billing or related field.
Education
- High school diploma or equivalent. Additional education or certification in accounting or finance is a plus.
License, Certificate or Registration
- Certification in billing or accounting (e.g., Certified Billing Specialist) is preferred but not always required
Skills
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- Strong attention to detail and accuracy in billing processes.
- Excellent organizational and time management skills.
- Effective communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Problem-solving and analytical skills.
- Proficiency in Microsoft Office suite.
Job Tags
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