Hamilton Health Care System, Inc.
Job Description and Performance Standards
Title: Billing Specialist 339025170
Department: Physician Billing Office
Reports To: Director
Shift: 8:00am - 5:00pm / Monday - Friday
Works under direct supervision and follows standard procedures and/or written instructions to perform the job duties. Performs basic administrative job duties relating to Billing. Responsible for monitoring accounts receivable, data entry, claims submission, follow-up, and account adjudication. Performs clerical administrative job tasks to maintain billing information and complete required daily activity reporting, this includes but is not limited to performing and verifying data entry, reports, account database maintenance, file maintenance, etc. Ability to explain more complex billing inquires, problems, and nonroutine matters related to department activity. Interfaces with customers/vendors, establishes and maintains positive business relationships internally and externally to ensure effective & efficient coordination of services to promote Company goals. Ensures the accuracy and timeliness of these processes productive relationships will be established and maintained with a broad range of personnel within the organization, including Physicians, managers, co-workers (including any off-site location(s)), clinic/hospital colleagues, information systems and other personnel as required. Cross-trains with other Billing personnel in order to assist with work overflow or to fill in as needed in their absence. Demonstrates teamwork to ensure achievement of team, individual and company goals. Performs other job duties as required.
EDUCATION: Completion of a high school diploma. College level courses preferred but not required.
EXPERIENCE: Minimum of 0-5 years third-party medical billing or medical collections experience or an equivalent combination of education and experience required.
JOB SKILLS: Intermediate Knowledge of medical procedural coding (CPT/ICD9) and reimbursement; Good oral and written communication skills with a demonstrated ability to interact effectively with individuals at all levels in the organization. Ability to interpret and follow oral and written instructions, policies, guidelines and standards. Ability to prioritize and manage time effectively and the ability to work in a team environment. Working knowledge of medical A/R software programs and PC skills. Close attention to detail, demonstrate competence in basic math concepts.