Tier 1 Business Services Specialist II - Billing/ Coding

Position Summary

Responsible for all aspects of assigned patient accounts after charge entry to final resolution

Essential Functions Statement(s)

- Verifies and updates insurance information and demographics - rebills charges when insurance corrections are made - Keeps up with changes in billing and pre-cert guidelines (including LCD's) - Reviews insurance eligibility - Determines and reviews financial responsibilities and insurance coverage with patients - Resolves patient balance related questions - Reviews surgery costs and establishes payment plans for patient portion - Reports denial trends to coders and managers - Completes charge entry - Processes patient and payor refunds - Reviews insurance eligibility and rejections/errors - Follows-up on aging buckets - Identifies accounts for referral to outside collection agency - Edits claim holds - Keeps up with changes in payor processes and reports them to coordinator for appropriate action - Obtains all precertification - Responds to correspondence from payors and patients - Regular and predictable attendance - Ability to work in a cooperative manner with others - Performs other duties as assigned

SKILLS & ABILITIES

Education: High School Graduate or General Education Degree (GED)

Experience: Previous healthcare billing experience is required

Computer Skills: Must be computer literate. Basic computer skills required. Must be able to type.

Campbell Clinic Benefit Summary:

Campbell Clinic offers a lucrative benefit package to support employees and their families.

- Medical / Dental / Vision Insurance - HRA Option - Flexible Spending Account - Basic Life Insurance - Voluntary Life Insurance Option - Long-Term Disability - Voluntary Short-Term Disability - Accident Insurance - Critical Illness Insurance - 401(k) Plan Matching + Profit Sharing - Employee Assistance Program - Paid Time Off - 8 Paid Holidays