The Role
The Billing Review Specialist ensures timely and accurate completion of billing reviews, communicates with payors and patients, verifies insurance eligibility, and maintains compliance with regulations.
Summary Generated by Built In
Job Summary & Responsibilities
JOB FUNCTIONS
This employee ensures that all assigned reviews and company projects are completed timely and accurately according to the scope of work. They will report any issues and/or concerns timely to the Supervisor of the Centralized Billing Review team and/or Manager of the Centralized Billing Review team.
JOB FUNCTIONS
- Contacts payors at times to discuss policy criteria or to ask clarifying questions on accounts
- Understands payor requirements according to their policies
- Ensures completion of all forms and collects complete billing information
- Pursues, maintains, and communicates medical coverage/guideline changes/updates
- Verifies insurance benefits and eligibility for patients
- Communicates with patients to resolve billing issues and ensures timely payment
- Maintains accurate and up-to-date patient records in compliance with HIPAA regulations
- Works assigned reports accurately and timely
- Helps facilitate interoffice communication on payor updates and trends
- Completes any adjustments/transfers of AR as required
- Documents all activity in customer's computer account or applicable applications
- Answers billing review specialist questions accordingly
- Reports issues and/or concerns in a timely manner
- Available to assist other billing review specialists on the team with questions or needs
- Acts as liaison between staff and management
Education
- High School Diploma or General Education Degree (GED) Required
Knowledge, Skills, and Abilities
- Past performance shows solid evidence of insurance qualifications and guidelines
- telephone etiquette and adequate oral and written communication
- Shows effective multitasking
- Positive and cooperative attitude in working and communicating with individuals at all levels of the organization
- medical field experience preferred
Top Skills
Hipaa Regulations
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The Company
What We Do
Lincare is a leading supplier of respiratory-therapy products and services for patients in the home. You can learn more about our extensive suite of products and services by visiting our website. Everywhere we operate, Lincare is working to be a partner in patient care by providing high-quality services and supplies, promoting patient education, and building strong relationships with patients, physicians, families and caregivers. Services we offer include: Oxygen Therapy Nebulizer Therapy Sleep Therapy Ventilator Therapy Enteral Therapy Pediatric Services Caring Responders Long Term Care Disease Management Programs and More!
