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Billing Specialist – *Now Hiring*

Nationwide Vision

This is a Contract position in Mesa, AZ posted March 24, 2021.

Job Title: Billing Specialist

We are looking for a knowledgeable Billing Specialist to join our team who possesses a high degree of
professionalism, excellent communication skills, is dependable and able to work independently.

Billing Specialist Responsibilities:
• Prepare, review, and transmit claims using billing software including electronic, website
submission, and paper claim processing
• Status unpaid claims within standard billing cycle timeframe
• Timely review/handling of insurance claim denials, exceptions, or exclusions
• Forwards requests for medical records to appropriate internal resources
• Addresses/corrects demographic information requested by insurance company
• Ability to read and accurately interpret insurance Explanation of Benefits (EOB’s)
• Verifying insurance payments for accuracy/compliance based on contracts to ensure correct
reimbursement is received
• Following up directly with insurance companies regarding payment discrepancies
• Utilizing aging reports and work flow statuses provided by Supervisor to address any unpaid or
open claims over 30, 60, 90, and 120 plus
• Coordination of Benefits (COB) – Ability to Identifying and bill secondary or tertiary
• Documenting denials associated with Patient responsibility to forward to the collection team
• Ability to research and appeal denied claims
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts
• Report payment discrepancies or denial trends identified to Supervisor as soon as they are
identified for assigned accounts
• Perform additional duties as requested by Supervisor or Upper Management Team

Requirements:
• Proven experience as a Collection Specialist or similar role for 2+ years
• Experience with CPT and ICD-9/10; Familiarity with medical terminology
• Knowledge of billing procedures and collection techniques
• Computer experience is essential, including, but not limited to: practice management software,
clearing houses, MS Office, and spreadsheet applications
• Adhering to company standards of compliance with policies and procedures
• Strong written and verbal communication skills
• Keep Supervisor abreast weekly of any concerns or issues associated with accounts
• Detailed oriented
• Consistent production results
• Good problem solving and research skills
• Able to multi-task and meet deadlines