Senior Billing Specialist Job Description
Senior billing specialist
provides technical assistance and coding support to Clinical Reviewers by using PAS, ICD and CPT coding systems to ensure accurate diagnosis and procedure codes.
Senior Billing Specialist Duties & Responsibilities
To write an effective senior billing specialist job description, begin by listing detailed duties, responsibilities and expectations. We have included senior billing specialist job description templates that you can modify and use.
Sample responsibilities for this position include:
Prepare and submit clean claims to various insurance companies either electronically or by paper
Identify and resolve patient billing questions
Prepare, review and send patient statements
Evaluate patient's financial status and establishes budget payment plans
Review accounts for possible assignment and makes recommendations to the Administrator
Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
Process payments from insurance companies
Review of billing activities performed by the billing staff
Review of all daily error reports and distribution of error results to the business for rectification
Assure that all billable transactions have invoiced and are ready for the automated distribution routine each day
Senior Billing Specialist Qualifications
Qualifications for a job description may include education, certification, and experience.
Education for Senior Billing Specialist
Typically a job would require a certain level of education.
Employers hiring for the senior billing specialist job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Accounting, Finance, Business, Associates, Education, Medical, Business/Administration, Management, Supervision, Medical Billing
Skills for Senior Billing Specialist
Desired skills for senior billing specialist include:
Basic accounting principles
National HIPPA
PHI
Regulatory requirements to help ensure compliance when working claims data is important
Accounts receivable goals and impacts
Analytical and problem solving skills
CPT procedure codes relative to hospital practices
Coding
Compliance
Governing bodies
Desired experience for senior billing specialist includes:
Develop and monitor key control checks that ensure the group's work is without omission, delivered on time, of high quality and highly accurate
Train and provide guidance to all Billing personnel
Provide regular feedback to personnel on performance, and communicate to the Supervisor
Identify remedial training needs within the group
Generate ideas and drive the implementation of process improvements
Support and participate in the improvement of the accounting systems
Senior Billing Specialist Examples
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Senior Billing Specialist Job Description
Job Description Example
Our company is looking to fill the role of senior billing specialist. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for senior billing specialist
- Work closely with Trading, Scheduling, and the Inventory/Exchange group to resolve all outstanding reconciling items
- Assist the Supervisor in establishing policies and procedures for Billing
- Ability to pull information from multiple sources and combine that information to create monthly invoices in SAP
- Direction and implementation of all production file imports into the billings systems
- Initiates the monthly billing process for assigned billers which may include reviewing or recommending billing amounts based on historical billings and current engagement amounts
- Serves as a resource and mentor for junior team members
- Independently investigates billing issues and processes invoice adjustments to ensure invoice correctness and employee margin accuracy
- This individual should have the ability to perform required tasks independently contribute as needed in a team environment
- Coordinate with multiple departments (ex
- Monitor contract terms and associated billing, and adjust pricing set up as needed
Qualifications for senior billing specialist
- Bachelor’s degree with 7 years of experience in the accounting profession including supervisor experience
- Familiarity with professional services operations a plus
- Bachelor’s preferred, in accounting, finance, or equivalent field
- Candidates should have a strong accounting and analysis background
- Experience working for print, direct mail, manufacturing, or other services companies a plus
- Experience with SAP a must
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Senior Billing Specialist Job Description
Job Description Example
Our growing company is looking to fill the role of senior billing specialist. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for senior billing specialist
- Work with clients on invoicing queries
- Coordinate with internal partners on billing requests and pricing set up
- Complete monthly manual billing requests and associated reporting
- Maintain and release all-ship-verified claims for all third party claim (commercial or government) accounts within established time frame as assigned Resolve errors and make claim edits assigned in work queues
- Follow work list prioritization of accounts as established by department policies and procedures for resolving accounts and/or submitting claims Contact payers and patients when necessary for PFS processes
- Handles customer inquiries, and may have full ownership of an inquiry, providing timely customer service support on issues related to billing, order status, deliver, cancelation
- May assist in coaching/mentoring junior peers
- May assist in facilitating team meetings/huddles
- Serve in a backup capacity for invoicing needs
- Update and track daily billing progress using preferred tools
Qualifications for senior billing specialist
- Must understand how the billing process works, and how each component impacts the client's bill
- Must understand how personal actions in the mainframe billing system impact the client's impact statement
- Must consistently follow and adhere to standard operating procedures
- Comfortable in using Microsoft suite of tools to perform analysis, create reports and interpret data
- Must work well with others and as an individual to accomplish work
- Has the ability to manage team's performance by ensuring the daily objectives are met
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Senior Billing Specialist Job Description
Job Description Example
Our company is growing rapidly and is hiring for a senior billing specialist. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for senior billing specialist
- Accurately and completely produces, processes, collects, and/or posts transactions or other designated functions in a timely manner with minimal direction from management
- Maintains competency, meets work standards, and maintains proficiency to perform all daily transactions and functions
- Assists in leading and openly supporting management in all departmental and organizational initiatives to achieve departmental and cash goals
- Completes special projects timely and accurately
- Shares expertise with staff, coordinates onboarding, and conducts education and training
- Ensures that billing, follow up and collection policies, procedures and guidelines are accurate, accessible and communicated to the staff
- Proactively identifies, communicates, quantifies, and monitors account detail or workflow processes for barriers in work environment
- Recommends process improvements or courses of action for problem resolution to management
- Quantifies or trends issues that recur in order that management may correct issues from point of origin, and assists with implementation of such measures
- Monitors the various billing data feeds entering the billing system and the team member must have strong analytical skills to detect out of tolerance values from normal levels which can indicate potential billing errors
Qualifications for senior billing specialist
- Knowledge of different treasury and investor service products is a plus
- Must be fluent in verbal, written and conversational English
- Ensure feed are uploaded in an accurate and timely manner
- Minimum two years’ experience in a billing, finance or accounting environment required
- A bachelor's degree with concentration in business, finance, or accounting is preferred
- Must be able to collaborate with a variety of groups
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Senior Billing Specialist Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of senior billing specialist. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for senior billing specialist
- Performs maintenance in billing systems on the service code level
- Performs monthly maintenance in US and International Earning Credit Rates (ECR) and Foreign Exchange
- Designs and run Wellness Reports and other MIS reports as requested by other functions and management
- Performs daily Direct Transmission Unit (DTU) repair and release in MTS for India, Australia, Hong Kong and Japan branches
- Manage a high volume of medical claims mainly related to over payments received by insurance companies to ensure timely and accurate funds are returned to the payer
- The account receivable associate will be responsible for identifying and quantifying trends/issues, developing potential solutions and then effectively communicate them to the appropriate members of the management team along with what the potential impact could be
- Identify and implement process efficiencies across the dept
- The associate must have a clear understanding of the intricacies of medical billing encountered in such areas like ambulatory care, physician/provider offices, or professional billing settings
- Participate in month end close duties to include providing data, analysis, posting journal entries, and AR to GL reconciliation
- Complete a variety of complex billing duties both manually and electronically to ensure customers are invoiced timely and accurately
Qualifications for senior billing specialist
- Strong problem solving and decision making skills, taking into consideration regulations, risk and impact to client
- Bachelor’s degree – Finance and Business Preferred
- Experience in a billing or finance role involving either large financial institutions
- Experience in preparing billing and other associated materials for large financial institutions
- The ideal candidate is a self-motivated, confident, processes critical thinking and research skills
- Experience in billing software and tools
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Senior Billing Specialist Job Description
Job Description Example
Our company is looking for a senior billing specialist. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for senior billing specialist
- Provide representation when needed of the Accounts Receivable area to internal dept.’s external dept.’s, clients, vendors and processors to clearly relay situational occurrences and provide support when needed
- Scan all billing correspondence
- Other accounting duties as assigned by the Controller, which could include accounts payable
- Utilizes multiple system applications to review and update patient billing information
- Serves as subject matter expert and primary go to person for questions from junior level staff
- Assists with the training and creation of process documentation
- In absence of management, may lead work flow efforts
- Participates in or leads payer and/or departmental meetings as needed
- Responsible for providing feedback suggestions and process improvement recommendations to management
- Functions independently to analyze and resolve claims
Qualifications for senior billing specialist
- Requires 3+ years of business experience, including any combination of Ricoh and/or general business
- Knowledge of Medicare, State Medicaid and Commercial insurance product guideline billing requirements
- Knowledge of current CPT Codes, ICD-9, ICD-10 and HCFA 1500
- Ability to follow Texas Tech, State and Federal guidelines in conformity with policies and procedures
- Experience with computers, Microsoft Word and Excel
- Analytical ability to comprehend, interpret and explain complex contract terms