Job Description

Join to apply for the Billing Specialist role at Avenue 360 Health and Wellness .

Overview:
Responsible for the day-to-day operations related to billing and collections.

Duties and Responsibilities:

• Computes patient fees and charges.
• Collects payments from patients.
• Establishes and follows up on patient payment plans.
• Compiles billing data from electronic health record system, practice management systems, and other databases.
• Prepares and submits electronic claims to third-party payers.
• Investigates and follows up with rejected claims.
• Maintains current knowledge of the basic and major medical, behavioral health, and prescription coverage plans.
• Maintains current knowledge of billing methodologies for each plan.
• Performs insurance coverage and grant eligibility verifications using verification tools.
• Generates superbills for appropriately covered patients three days before visit.
• Forwards verification information to Medical Receptionist at least two days prior to visit.
• Schedules follow-up visits for providers.
• Assists the financial team with clerical tasks.
• Participates in quality management and assurance activities.
• Other tasks as assigned by the Director, Revenue Cycle and Billing.

Education, Experience, Licensure/Certification, and Skills/Abilities:

• High School Diploma required; Associates Degree preferred.
• At least four (4) years of practical work experience in medical claims coding/billing and the insurance industry.
• Additional years of experience can substitute for college credits.

Continuing Education and Training:

• Participates in required trainings as per funding source and licensure requirements.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Accounting/Auditing and Finance

Industries

• Medical Practices

Job Tags

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