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Title

Billing Specialist 

About the Organization Here at All Pieces Fit, we take pride in providing a positive environment. We strive to create a place where growth, progress, and productivity are valued by both our staff and our families. We aim to utilize the most effective means of treatment to ensure that our families are receiving quality services. We provide in-home, center-based, and community-based services along with flexible hours to accommodate our families' needs and to provide the best learning environment for the child.
 
EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.  
Description

We are seeking a self-motivated, professional with excellent written and verbal communication skills to join our team! The successful candidate will be responsible for a variety of tasks including, but not limited to, pursuing collection of all claims until payment is made by insurance companies, appealing denied claims and prepare and submit billing data to insurance companies.

 
Position Requirements

Job Duties

  • Verify accuracy of billing data and revise any errors
  • Operate copy, scan and fax machine
  • Answer mail or telephone inquiries regarding rates, routing, or procedures
  • Collect and review referrals and pre-authorizations
  • Prepare and submit billing data and medical claims to insurance companies
  • Follows up with third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Keeps updated on all billing and benefit changes for third-party insurance carriers
  • Monitors claims for missing information and authorization/control numbers
  • Ensure the patient’s medical information is accurate and up to date
  • Investigate and appeal denied claims
  • Maintain billing software by updating rate change, spreadsheets, and current collection reports
  • Track accumulated hours and dollar amounts charged to each client job to calculate client fees for services
  • Maintain confidentiality of all information
  • Performs other billing related duties as assigned
  • Must be highly organized
  • Must be available full-time hours (Minimum 40 hours per week)
  • Must be able to sit for an extended period of time

Education and Skill Level

  • High School Diploma (or GED or High School Equivalence Certificate)
  • Associate degree (Bachelor's Degree in business or other related fields preferred)
  • Courses in insurance billing, data processing and medical terminology preferred
  • 1-3 years of prior experience in billing of third-party insurances for facility and/or professional services
  • Active Learning- Understanding the implications of new information for both current and future problem-solving and decision-making
  • Critical Thinking- Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
  • Speaking- Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Writing- Communicating effectively in writing as appropriate for the needs of the audience
  • Problem Solving- Research and resolve discrepancies, denials, appeals and collections
  • Multi Task - Being able to perform a variety of tasks concurrently without losing focus of goals
  • Time Management- Prioritizing tasks and setting goals for completion of tasks
  • Microsoft Office products Must be proficient in Excel

Other Requirements:

  • Knowledge of insurance guidelines including HMO/PPO, Medicaid and other payer requirements and systems.
  • Competent use of computer systems and software
  • Knowledge of use of Microsoft Office products such as Word and Access
  • Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
  • Knowledge of third-party billing requirements
  • Other duties as assigned
 
Full-Time/Part-Time Full-Time  
Location All Pieces Fit - Merrillville, IN  
PLEASE INCLUDE REFERENCES ON YOUR APPLICATION  
Shift Days  
Position Billing Specialist  
Exempt/Non-Exempt Non-Exempt  

This position is currently not accepting applications.

To search for an open position, please go to http://AllPiecesFitInc.appone.com



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