Billing Specialist I - Premier Community Healthcare Grp.

Billing Specialist I

The Billing Specialist process patient and insurance billing payment for services renders at Premier Community HealthCare Group (PCHG). Provides support in all areas of the billing department.

Essential Duties and Responsibilities:

• Addresses payment and denial postings, balancing and daily close.
• Works with patients directly on patient accounts, insurance claims, and initiates check requests for patient refunds when needed.
• Assist with site daily balancing and preparing banking slips.
• Escalates complex billing issues or patient concerns as appropriate.
• Exhibits and promotes Core Values and is actively engaged in promoting a positive work environment and service excellence.
• Ensures safety and compliance protocols are followed in accordance with PCHG and regulatory policies.
• Provide suggestions for positive changes within the office.
• Ensure confidentiality and HIPAA compliance at all times
• Keep other care team members informed when situations occur that disrupts timely patient flow through site.
• Contribute to community give back initiatives and be an advocate for Premier’s mission
• Adhere to patient care needs and the core values of Premier Community HealthCare to a provide best-in-class patient experience
• Work towards attaining department goals and drive Quality Improvement / Quality Assurance (QI/QA)
• Other duties as assigned

Supervisory responsibilities: None

Knowledge, Skills and Abilities:

• General understanding of billing processes and procedures to be able to meet daily expectations.
• Maintains knowledge of billing and revenue cycle regulations and best practices.
• Strong attention to detail and quality assurance.
• Adaptable and proactive in understanding and implementing changes in data technology, service delivery models, regulations as these continue to evolve.

• Maintains a professional relationship and positive attitude with co-workers, patients, the entire organization, and the public.

• Maintains the highest professional work ethics.
• Displays enthusiasm toward the work, mission, and vision of the organization.
• Exceptional customer service skills and demonstration of empathy and compassion to a diverse patient population.
• Ability to communicate effectively, verbally and in writing with multiple levels within the organization.
• Excellent grammar, spelling and interpersonal skills.

• Exhibits honesty and ethical conduct, maintaining confidentiality and upholding Premier Community HealthCare's values in all interactions.

Qualifications:

• High School Diploma or GED.
• Proficiency in using a computer and office software.
• Obtain and maintain Epic certification/ annual compliance throughout employment

Working conditions and physical requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Ability to lift 20 lbs. regularly and 30 lbs.-50 lbs. occasionally.
2. Ability to sit for long periods of time.
3. Direct exposure to computer screen.
4. May be exposed to contagious/infectious diseases.