Billing Specialist

SUMMARY: Assists Department management in accomplishing the goals and objectives of the Reimbursement Department Direct Billing Program. Primary responsibilities involve Direct Billing Service operations: 1) timely and accurate filing of claims for Cochlear products and services, and 2) collection of revenue generated as a result of claims filing activities. Responds to requests for billing information and assistance from recipients, hospitals, audiology centers, physicians and the payer community.



DUTIES & RESPONSIBILITIES:



1. Responsible for all facets (i.e., logging orders, verifications, authorizations, processing orders, billing invoices) of the submission of electronic or hardcopy claims to Medicare, Medicaid, and other public health plans, commercial, private, and/or secondary/supplemental payers.

2. Responsible for reconciling billing and collection of payment for Cochlear Americas products and services provided to recipients.

3. Responsible for researching and resolving billing problems.

4. Responsible for accurate storage and timely retrieval of information collected in the Billing Service MediSoft billing software program.

5. Provide billing/coding support concerning parts, accessories, and supplies for recipients, hospitals, audiology centers, physicians and the payer community via telephone and email communications.

6. Assists Department management in provider enrollment activities and managing provider agreements/contracts.

7. Assists Department management in developing correspondence and letters, updating relevant information and following up on requests for information about company billing programs.

7. Special tasks or assignments as directed by Department management.

8. Other duties as required.



MINIMUM QUALIFICATIONS:



At least 3 years experience in health care billing, claims filing and collections follow-up. Must have a thorough understanding of US coding systems, and public and commercial health insurance systems. Must have excellent computer skills (preferably in Microsoft Office). Knowledge of Medisoft billing software is a plus. Must be able to work independently, be organized, have the ability to handle multiple tasks, be detail oriented, possess excellent verbal and written communications skills and have excellent customer service skills. Must be able to deal with internal and external customers in a professional and diplomatic manner.