Billing Specialist (In-Office) - Rochester, NY
HCR Home Care
Role and Responsibilities
The Billing Specialist position is a member of the Billing Team which reports up through the Finance Department. The Billing Specialist is responsible for bill file routing, uploading, error correction, and re-submission.
Essential Functions
+ Responsible for submitting and receiving all electronic claim files and payer response/rejection files, and for researching and re-submission of claims rejected by clearing house/payer.
+ Work pre-post reports prior to submission to ensure claims are correct.
+ Initiate and complete enrollment process for payers/providers in medical clearing house.
+ Assist in adding and maintaining the HCHB payer setup process.
+ Support, maintain, and administer multiple data systems for commercial insurances.
+ Daily mapping, testing, processing, monitoring, logistics/order processing support, and reporting.
+ Collaborate with manager and Billing Team to help complete billing claim workflows.
+ Use appropriate documentation, reference materials, and/or websites to ensure that billing claims are processed accurately and efficiently.
+ Monitor the number and types of claim rejections; resolve and report issues to Revenue Cycle Manager in order to ensure every service is billed accurately and timely.
+ Assist in the development of a Billing Manual.
+ Produce high quality work that is complete and accurate.
+ Other duties as assigned.
This job description reflects managements assignment of essential functions; and nothing in this herein restricts managements right to assign or reassign duties and responsibilities to this job at any time.
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