Where compassion meets innovation and technology and our employees are family.

GENERAL PURPOSE OF JOB:

The Billing Specialist oversees the accurate completion of the charge entry billing process to ensure the financial viability of the organization in accordance with State and Federal reimbursement guidelines. Duties include but are not limited to ensuring accurate and timely charge entry for physician groups, correct ICD-10 coding relating to ensuring clean claims via electronic or paper submission, working claim edits related to pre-billing errors and rejections as
well as clearinghouse errors, assisting with updating coverage on patient accounts, and being instrumental in the secondary claims filing process.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all- inclusive; employees will perform other reasonably related business duties as assigned by the
immediate supervisor and/or hospital administration as required.
• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and departmental procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Enter patient charges to corresponding patient accounts.
• Demonstrates an understanding of security and confidentiality of data and information.
• Maintains a calm, professional demeanor at all times.
• Effectively demonstrates DCH’s philosophy, values, and mission as evidenced by interactions with others.
• Maintains and ensures confidentiality of patient records at all times.
• Monitors
• Notifies Supervisor of any billing rejection trends or system problems/issues immediately.

EDUCATION AND/OR EXPERIENCE:
High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.
One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
Experience working with Epic software preferred.
Prior experience working in a medical billing office.