Insurance Billing Specialist

Finance & Accounting
in Denver
, CO
Reference: 19-02643

General Summary: 

The Insurance Billing Specialist is responsible for processing incoming and outgoing patient billing based on expanded knowledge and experience. Utilize the billing process in achieving the goals of the Billing department. Actively participate in outstanding customer service and accept responsibility in maintaining relationships that are equally respectful to all.  Adhere to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies.

Knowledge and Skills Required: 

  • Adaptive to the healthcare industry’s dynamic environment
  • Use discretion when handling personnel/patient issues that are confidential in nature
  • Type 35 or more words per minute depending on specific job requirements
  • Proficient in basic math, verbal, and written skills
  • Communicate professionally with an acceptable use of the English language
  • Accept the responsibility of serving as a family health center liaison between patients and their insurance companies
  • Work well with others of varying backgrounds

Preferred Knowledge and Skills: 

  • Computer skills to include Host, EPIC, Microsoft Office, and Internet

Preferred Education and Experience: 

  • High School diploma or equivalent

Principal Duties and Job Responsibilities: 

  • Demonstrate core values of integrity, compassion, balance, excellence, stewardship, and teamwork as outlined in the organization’s Performance Excellence Program booklet
  • Perform properly and in a timely manner the procedures outlined in the billing guidelines
  • Adhere to all billing and coding regulations of all applicable local, state and federal agencies and accrediting bodies
  • Ensure and maintain confidentiality in relation to meeting HIPAA guidelines
  • Analyze accounts to ensure their accuracy
  • Perform any necessary functions to bring account balances to zero
  • Handle telephone calls and other inquiries in a timely and courteous manner
  • Communicate effectively with others
  • Document daily activities in the system and on weekly productivity sheets
  • Give constructive feedback
  • Direct inquiries to the appropriate personnel as set forth in the department guidelines
  • Report issues to the Billing Office Manager
  • Actively search for methods to improve customer service or patient care
  • Utilize appropriate resources to complete billing tasks
  • Participate in continuing education for the purpose of self-enrichment and increased knowledge
  • Participate in department changes as a result of performance improvement activities
  • Facilitate efficient operation of department by being available and prepared to work during scheduled working hours and attending meetings as requested by management
  • Perform other duties as assigned or directed to ensure the smooth operation of the department