Niramedical
Billing Specialist
1y ago
Remoteclaims submissionaccounts receivable managementbilling software
Responsible for processing claims and managing billing activities related to physician and ancillary services to support patient care.
Responsibilities
- Proactively submits and processes assigned third party payor billings (primary, secondary claims) to maximize accurate and timely billing
- Achieves daily accomplishments that produce progress towards monthly, quarterly and annual cash collection and accounts receivable goals
- Actively engages in assigned quality assurance tasks to safeguard accurate and timely claims creation including compliance with organizational policies and payor guidelines
- Identifies unresolved or incomplete work product within assigned scope of responsibilities for follow up and escalation in a timely fashion
- Identifies areas of opportunity or potential patterns of noncompliance during normal course of responsibilities and escalates appropriately for review
- Anticipates most efficient resources and activities needed to secure payment of open claims and invoices including use of online payor policy research, electronic submission tools, or appropriate escalation or triage
- Performs other duties as required.
Other
- The Billing Specialist (Biller) is responsible for the performance of a broad range of billing activities related to processing of claims for physician and practice-related ancillary services. The Billing Specialist will maintain expertise in claims submission, accounts receivable management, interpretation of related practice documentation, and other relevant tasks in order to support a best-in-class patient care platform. The Billing Specialist will also demonstrate proficiency in multiple applicable software systems in addition to growth in areas supporting physician services including physician-administered drugs, imaging, and other ancillaries.
- Director, Revenue Cycle Management
- High School Diploma or equivalent (GED) required
- Prior physician office and infusion drug experience highly preferred
- Excellent interpersonal, communication and organizational skills required
- Ability to prioritize, problem solve, and multitask is required