Shire Jobs

Primarily 1st Shift

Position Summary:

The Billing Specialist will be responsible for efficient and effective billing of all electronic and paper claims. The Billing Specialist will review patient accounts as necessary for accuracy of registration information, pre-certification, and insurance benefits.

Qualifications:

Education:

• High school diploma required.
• Associate degree in a health-related field preferred.

Experience

• Minimum of two (2) years of experience in physician or hospital billing setting preferred .

Licensure/Certification/Registration

• None

Duties and Responsibilities:

• Prepare claims to be submitted electronically and make all necessary corrections to claims that do not pass the billing edits per payer requirements.
• Review clearing house rejected claims report daily and alert Leadership to any trends in rejections by payers.
• Prepare, print, and mail, fax or scan all hard copies claims to include corresponding attachments needed for claim to adjudicate.
• Ensure timely, effective, and thorough management of claims to ensure full, expected reimbursement for services provided and will prioritize claims based on aging and outstanding dollar amounts or as directed by management.
• Provide exemplary core customer service.
• Effectively utilize strong organizational skills.
• Consistently display effective verbal and written communication skills.
• Proficient understanding and use of technology/PC skills required.
• Regularly exercise independent judgment.
• Accurately and honestly perform his/her functions to ensure that accurate claims are submitted, and the organization retains only those funds to which it is legally entitled.
• Other duties as assigned by department leadership.