TITLE: Billing Specialist

REPORTS TO: Medical Billing Supervisor

PURPOSE OF :

This position is designed to provide support measures to all billing claims and financial revenue as related to Ambulance Service. The clerk will participate in all daily operations required by department efforts to expedite payment of all accounts. To input all items related to transportation services provided into the data base for billing purposes. All communications with contracted consultants and clients must be handled in a professional manner. This position must participate in the continued training as outlined by the company or the Billing Supervisor. The clerk will be required to adapt to all changes in the medical billing environment that effect the reimbursements to the company.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Reviews patient care reports to determine patient information for insurance purposes.
• Contacts facilities, hospitals, and patients for missing patient information and physician certification statements.
• Gathers data such as names of insurance company and policy holder, policy number, and services rendered.
• Contacts insurance companies to verify patient coverage, determine schedule of payors, and obtain information concerning benefits.
• Computes total bill showing amounts to be paid by insurance company and patient.
• Follow-up with companies and individuals regarding unpaid claims.
• Sorts incoming mail and conducts research to locate a better address for returned mail.
• Prepares outgoing mail – bills, invoices, statements, and reports.
• Answer billing phone lines and greet/assist visitors.
• Answers billing questions from patients and contract payors in a kind and professional manner.

QUALIFICATIONS:

The Billing Clerk must have all valid documents as required by AMED policies and procedures as outlined in the Employee handbook. The clerk must meet all criteria as set forth by the company policies regarding Medical Billing experience. A high school diploma or equal certified training in medical coding and billing is required. Training in Business and billing experience is preferred. Strong typing skills and basic computer knowledge is required. Must have knowledge of HIPPA requirements and record management. Possess the ability to multi task and use good personal judgment. Must communicate with vendors and co workers in a group setting, face to face or on the phone. Must demonstrate the ability to work with all necessary office machines and technology systems. Combinations of certified training courses as well as years of experience may be substituted for some qualification requirements.

PHYSICAL DEMANDS:

The billing clerk must be able to operate and have a general understanding of all equipment used to generate billing. They must be able to troubleshoot all electronic equipment required for daily billing operations. Manual dexterity required for operating computers and general office equipment such as copiers, postage machines, and all phone systems. Verbalizing and hearing is required in order to communicate with co-workers, vendors and clients. Must be able to visualize information on computer screens and all company reports.

The above statement reflects the general duties considered necessary to describe the principle functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.