Billing / Collections Specialist Job Description
Billing / Collections Specialist Duties & Responsibilities
To write an effective billing / collections specialist job description, begin by listing detailed duties, responsibilities and expectations. We have included billing / collections specialist job description templates that you can modify and use.
Sample responsibilities for this position include:
Billing / Collections Specialist Qualifications
Qualifications for a job description may include education, certification, and experience.
Education for Billing / Collections Specialist
Typically a job would require a certain level of education.
Employers hiring for the billing / collections specialist job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Education, Business, General Education, Associates, Accounting, Finance, Healthcare, Technical, Communication, Medical Billing
Skills for Billing / Collections Specialist
Desired skills for billing / collections specialist include:
Desired experience for billing / collections specialist includes:
Billing / Collections Specialist Examples
Billing / Collections Specialist Job Description
- Accurately and timely billing and rebilling of institutional and professional claims
- Contacting third party payors in a timely manner to determine claim status for institutional and professional claims
- Actively works with the Utilization Review Department to ensure pre-certifications, certifications, and appeals are completed accurately and in a timely manner
- Reviews and works Zirmed errors in a timely manner
- Reviews and works credit balance to maintain accurate account receivable balances (3% of Net AR)
- Attends and prepares for weekly AR Calls
- Works reports distributed by CBO Supervisor in a timely manner
- Maintain logs for month-end reporting purposes, such as potential collection problem accounts, reimbursement issues, high dollar accounts
- Review for proper meters and enter meter readings as needed, utilizing electronic meter collection software FM Audit, review of service history, utilizing the assistance of service technicians were possible or via phone call to customer
- Enters charges/charge and corrects as needed
- Strong customer service experience demonstrating compassion and concern
- Ability to work well under pressure and multi-task routinely
- Professional presentation/appearance/demeanor
- Aggressive insurance collections of unpaid claims
- Work insurance denials and appeals
- Insurance claim filing – electronic and paper
Billing / Collections Specialist Job Description
- Retractions and completes refund paperwork
- Reconciles credit balance within Epic through adjustment posting
- Reviews and trends claim rejections in assigned work queues
- Appeals claim rejections in a timely manner in accordance to carrier specific guidelines
- Reconciles daily work to system generated reports
- Provides phone coverage for Patient Billing Department when necessary
- Responsible for meeting departmental standards and adhering to company policies
- Attends payor meetings for updates when requested
- Adheres to all HIPAA privacy and security policies and practices. Reports observed violations and incidents and cooperates in investigations as requested by management
- Accurate and timely billing (high volume) for our service business
- Data entry of payments and adjustments
- Daily balancing of payments and adjustments
- Determine Refunds
- Collections on unpaid patient balances
- Speak with patients and answer questions
- Process patient credit card payments
Billing / Collections Specialist Job Description
- Ensures checks received are coded to the proper general ledger account and will be logged appropriately into JD Edwards software system
- Assists with customer account research with collections at the direction of the Staff Accountant
- Reviews and follows up daily on accounts Identifies delinquent accounts by working aging in a timely manner daily
- Documents with notes in billing system and maintains complete and accurate records concerning collection activity on all requests any necessary adjustments for contractual allowances for the secondary payer per the contract rules and regulations of that payer
- Works and resolves credit AR within 30 days of AR transaction posting that creates the credit balance
- Generates refund, retractions or adjustments as necessary
- Performs support duties for audit and other inquires as assigned by Supervisor or Manager, investigating problems related to billing, reporting and composing internal and external correspondence
- Participates in projects and management meetings as requested
- Resolves complex collection issues with all payers and explains outcomes clearly both verbally and helps others with payer questions
- Trains other staff for back-up billing
- Accurately open and document support calls in a timely manner
- Communicate client needs accurately, timely and with proper documentation
- Responsible for communicating with the client via phone, tasks or email
- Basic working knowledge with Microsoft Word and Excel
- History of successful third-party collection skills and decision-making capabilities Ability to communicate with patients, payors, government offices, through face to face, telephone and written correspondence
- Ability to communicate with patients, payors, government offices, through face to face, telephone and written correspondence
Billing / Collections Specialist Job Description
- Acts as a resource to department and other staff outside of department
- Works independently only asking for assistance if necessary and is assertive in problem solving and customer service
- Responsible for knowing payor billing and collection guidelines, fee schedules
- Verifies information on forms, vouchers or other accounting documents in systems according to process guidelines
- Review of invoices for appropriate quantities, coding, charges, and rates compliance to contractual obligations
- Responsible for notifying clients of delinquent accounts, email/mail copies of invoices and sending statements to clients
- Monitor client account details for non-payment, delayed payments and other irregularities
- Call clients who are delinquent and discuss their payment options
- Investigate and resolve client inquiries and invoice issues, including partnering with the account management team to provide customer request
- Perform daily financial transactions which includes classifying, computing, posting, verifying, and recording accounts receivable data
- Meet minimum daily/weekly tasks as set by Management
- Minimum 2 years of prior experience in healthcare billing required
- AR, Collections, Claims, or Insurance Follow Up Experience
- Experience in insurance follow up and aging reports
- Excellent ability to communicate effectively utilizing both written and verbal skills
- Strong organizational and time management skills with the proven ability to multitask while maintaining accuracy
Billing / Collections Specialist Job Description
- Responsible for client set-up in the accounting system
- Coordinate with new clients on set-up and W-9’s
- Review data of orders in the system created by media buyers during the billing cycle
- Review invoice proofing report with account team for potential billing
- Submit bills to clients
- Upload billing information to client payment platform
- Prepare, compile, and mail bills for products paid for by clients
- Maintain billing register and provide status of invoice delivery
- Provide information to the customer service and account management team as requested
- Help with ad-hoc projects when assigned
- Very Strong problem-solving skills (a goal getter)
- Tech savvy (strong knowledge and experience with Microsoft Excel and Outlook, self-starter)
- 3 years of experience in Billings & Collections/AR
- 2+ years experience in accounting, AR, customer service, A/P or a related field preferred
- 2+ years data entry experience preferred
- Proficient in Microsoft Office including Word, Office, Outlook, preferred