Commercial Insurance Billing and Follow Up

**Position Summary** **** Responsible for accurately and efficiently processing claims and invoices. **Job Duties** - Prepare bills and invoices for medical services and treatments received - Manage the billing for commercial insurance and managed care payers - Perform billing functions to review and take necessary actions to resolve billing errors ensuring clean claim submissions - Utilize all resources available, including electronic inquiries to verify eligibility, benefits and claim status - Exercise good judgement toward account resolution and documents all activity on an account in a clear, accurate and consistent manner utilizing appropriate online system - Maintain claims tracking for the worker’s compensation and motor vehicle billing program - Provide support for the department and assist with special projects, as assigned - Demonstrate excellent customer service skills when responding to incoming or outgoing calls in a most courteous manner providing clear and appropriate information as needed - Advise team lead and/or supervisor of any billing errors, payer trends in claims processing, denials or payment fluctuations, to ensure proper handling and escalation as necessary - Adhere to all Hospital Regulations associated with Compliance (to include HIPAA, etc.) - Performs other duties as assigned. **Qualifications and Skills** - Excellent customer service skills and problem solving skills. - Strong analytical and organizational skills. - Ability to interact with varying cultures and a diverse population. - Basic computer skills. - Bi-lingual in Spanish preferred. **Education, Experience and Certification/Licensure Requirements** - H.S. Graduate or equivalent - 1-2 years’ experience in a customer relations driven industry preferred - Prior billing experience a must.