Billing Specialist

Net Health

  • Pittsburgh, PA
  • Permanent
  • Part-time
  • 4 months ago
Description :

About Net Health

We deliver better software because of people like you, come join us! As the innovator in specialty EMR helping hospitals, skilled nursing facilities, private practices and hospices deliver better care to patients, you will make a difference. Working in a highly collaborative culture that focuses on the success of our employees, you will grow in expertise and be financially rewarded for your efforts.

You will help healthcare professionals deliver better care by helping them reunite with their calling. Let us help you reunite with your calling. Our philosophy is that we grow when you love what you do and are challenged in a positive environment by working in teams to solve big, important problems. We are looking for top talent with a passion to contribute.

JOB OVERVIEW

The Billing Specialist I will be responsible for a variety of RCM tasks requiring data analysis, in-depth evaluation,
and sound judgment. They also maintain billing software, claim submission, reviewing denied claims, posting
payments and answering phone calls.

RESPONSIBILITIES AND DUTIES

 Preparing, reviewing and transmitting claims using billing software, including electronic and paper claims.
 Review payments for accuracy and apply those payments against the pertinent account.
 Coordinate consistently with Billing Specialist II to investigate and resolve denied claims and return
corrected claims to the insurer quickly.
 Detail oriented with solid verbal and written communication skills.
 Provide exceptional customer service to all clients.
 Possesses strong analytical, time management, organizational, problem solving and decision-making
skills.
 Must have a working knowledge of Medicare, Medicaid and be familiar with commercial insurance billing
and their respective plans.
 Strong computer and billing software skills.

QUALIFICATIONS

 High School diploma or general education degree.
 1+ years of experience in one or more aspects of the medical revenue cycle management.
 1+ years of customer facing customer service.
 Ability to use independent judgement and to manage and impart confidential information.
 Knowledge of Microsoft Office Suite.
 Knowledge of insurance guidelines for all applicable players.
 Exceptional problem-solving abilities and attention to detail particularly as it relates to claim investigation,
denials, appeals and collections.

INTERACTION

This role will work closely with key departmental and project stakeholders across the organization. Therefore, the
ability to work collaboratively and effectively with all levels of management and staff within the organization is a
key priority in this role. No supervisory responsibilities required for this position.

COMMUNICATION AND COGNITIVE ABILITIES:

 Cooperate with matrixed team members to meet goals or complete tasks.

Position Description

 Must be comfortable working in ambiguous and/or stressful situations.
 Must be self-motivated and know when to seek guidance; detail-orientation is a must.
 Flexibility, ability to change priorities quickly, and capacity to handle multiple tasks.
 Effective collaborator with proven process improvement skills.
 Exceptional organization and time management skills.
 Excellent communication and interpersonal skills.
 Ability to consistently learn new technologies and apply those concepts to customer’s needs.
 Ability to work as part of a geographically dispersed team.
 Ability to work independently and as part of a team.
 Keep up to date on technology trends, developments & best practices.
 Ability to communicate effectively to both technical & non-technical audiences.

Note: This job description is not intended to be all-inclusive. Employee may perform other related duties as
requested to meet the ongoing needs of the organization

Net Health