Billing Specialist
- Assist in patient registration by collecting new patient information such as demographic and health insurance information.
- Submits medical claims such as service encounters and data transactions into the Electronic Medical Record EMR system and/or other medical billing portals.
- Assures data accuracy through reviewing services and transactions for duplicates and other billing errors; informs parties involved of corrections needed.
- Communicate and follow-up with insurance or State payers on unpaid claims; troubleshoot and resolve issues on rejected medical claims.
- Tracks and maintains accurate records of billing and payment collection activities.
- Maintains and updates data and forms within EMR ensuring compliance with payers billing instructions.
- Works with the appropriate staff to ensure efficiency and accuracy of billing/reporting systems.
- Provides support for staff training of EMR system functions/changes.
- Exports data from EMR system as needed to generate reports for data analysis, monthly reconciliation, productivity and grant applications.
- Maintains knowledge as a subject matter expert on billing rules, maintains mandated billing education and attends webcasts and other payer requirements.
- Trains staff members to understand billing rules.
- Assists in ensuring program integrity and efficiency throughout the ERM system.
- Facilitates and monitors to ensure that the EMR system communicates with the State’s system and other insurance payers.
- Facilitates changes to support end-user and/or supervisory requests.
- Coordinates program and clinician enrollment on insurance panels; assist in completing and renewing credentialing applications and applications for each insurance company as required.
- High School Diploma
- At least 2 years of experience in a healthcare environment utilizing an EMR system
- Experience with Qualifacts CareLogic and Therap systems, preferred
- Valid Illinois Driver’s License
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