Job Functions, Duties, Responsibilities and Position Qualifications:
The Billing Specialist performs a variety of functions within the billing process, in a timely and efficient manner, that includes statements, correspondence, refunds, denials, re-bills, collections, and customer service. These functions may be performed using manual/paper processes or electronically.
High School Diploma or equivalent required
Medical coding (ICD-10, CPT, HCPC) knowledge preferred
Medical claim filing and processing knowledge preferred, including electronically
Minimum one (1) year office experience required, preferably in a medical billing environment
Experience and proficiency with accounting software, PC computer including word processing and spreadsheets, and 10-key calculators
Strong math, analytical, and data entry skills required
Strong problem-solving and decision making skills required
For hospital settings, additional requirements may apply and change without notice, including, but not limited to, criminal background check, health clearance and hospital compliance training
Successfully pass Company pre-employment drug test and periodic and random thereafter
Demonstrated and proven ability/experience in accomplishments in all of our five core values:
Under direct supervision, and in accordance with Company policies, procedures and guidelines, this position:
Prepares, verifies, electronically submits or mails periodic billing statements to customers/clients in a timely manner ensuring accuracy in data
Electronically sends out patient statement files to POH as applicable
Processes payments to customer accounts ensuring accuracy
Reconciles and posts electronic payments from insurance carriers as applicable
Investigates and resolves rejected/denied claims and resubmits for payment to insurance provider and/or patient
Reviews and responds to correspondence in accordance with company policies and procedures
Provides customer service regarding billing/pricing issues/questions
Responds to and resolves issues for customers in a timely and efficient manner
Performs sorting, filing, typing, photocopying and data entry as required
Performs account collection activities as required
Assists in the preparation of reports as required
Balances un-posted daily cash reports as applicable
Acts as backup for handling incoming calls
Adheres to confidentiality, safety, compliance, and legal requirements
Maintains consistent and reliable attendance and complies with company guidelines on attendance
Performs other duties as assigned
Occasional carrying, pushing, and pulling of objects; and lifting of up to 20 lbs may be required
Occasional reaching, stopping, bending, kneeling, and crouching
Frequent prolonged standing/sitting/walking
Must be able to see, hear, and respond adequately
Extensive computer work
Frequent use of telephone
Air conditioned office
Subject to electrical and radiant energy hazards
Sufficient noise and interruptions to cause distractions
Frequent exposure to video display terminals
May be asked to work occasional irregular or extended hours
Perceive pertinent details and verbal or tabular material
Ability to see things from the customer's/patient's point of view and respond in a timely appropriate and courteous manner
Handle emergency situations with calmness and professionalism
Ability to work effectively with others and promotes positive working relationships
Perform arithmetic operations quickly and accurately
Understand meaning of words, ideas associated with them and their effective use
Understand instructions, reason, and make judgments
Effective oral and written communication skills, excellent organizational and interpersonal skills, and computer literacy required
CUSTOMER-FOCUSED: Aware of customer needs; makes decisions with customer in mind; builds strong customer relationships.
COMMUNICATOR: Proactively conveys a clear, convincing, and timely message; possesses strong verbal, written, and presentation skills.
PROBLEM SOLVER: Uses data and logic to quickly find solutions to difficult challenges.
BUSINESS SAVVY: possesses business and organizational know-how; understands how to accomplish tasks through formal channels and informal networks.
RESOURCEFUL: Knows how to get what is needed; manages time and workloads for maximum efficiency.
QUALITY CONSCIOUS: Delivers accuracy and precision in work products; mindful of technical requirements, rules, and standards.
TIME-WISE: Prioritizes; respects others' time; adheres to schedules and agendas.
COLLABORATIVE: Works effectively with others to accomplish goals
Scheduled Weekly Hours:
1st Shift (United States of America)
Clinical Laboratories of Hawaii, LLP
Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Sonic Healthcare USA is a division of Sonic Healthcare Limited, one of the largest diagnostic laboratory medicine companies in the world. We aspire to help people live better, healthier lives. We focus on delivering the highest quality laboratory information through our unique Medical Leadership model and federated structure, through regional diagnostic laboratories operating across the United States.
Since its establishment in 2007, Sonic Healthcare USA has grown to become the third largest laboratory medicine company in the United States, with operations across the country. From our boardroom to our individual practices, we are guided by the leadership of our medical specialists, senior scientists experienced managers, all of whom understand the unique demands and privileges of working to improve the health of our patients.