DESCRIPTION:  We are looking for a Billing Specialist to assist office staff, assist in the tracking of bills and claims and operations of the local business unit.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Participate in billing.
• Bilingual capacity is a plus.
• Coordinate with all office staff.
• Assist with special projects as needed.
• Assist with the Management of insurance contracts – new and renewals.
• Assist with Medicare accreditation process and requirements.
• Maintain all licenses and certifications for business.
• Confirm orders to bill.
• Manage and follow all denials for insurance.
• Intake orders
• Other duties as assigned.

Requirements

• Knowledge of the methods used in the preparation of charts, graphs and tables, and of the methods of general report writing.
• Ability to analyze and determine the applicability of data, to draw conclusions and to make appropriate recommendations.
• Skilled in problem solving, consensus building, conflict resolution and team building.
• Ability to interpret policies and procedures in written and verbal responses to requests for information.
• Ability to work independently and collaboratively.
• Prior DMEPOS experience a plus
• Microsoft Office experience required.
• Experience with medical billing software plus

KPI’s

• Track and maintain invoices on a daily basis. 
• Track the aging for Medicare / Medicaid / Private Insurance / TRICARE. 
• At least 30 minutes a day.   
• Track the claims denial rate for all claims. Assist the office manager as needed.