Billing Review SpecialistThis 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 FunctionsContacts payors at times to discuss policy criteria or to ask clarifying questions on accountsUnderstands payor requirements according to their policiesEnsures completion of all forms and collects complete billing informationPursues, maintains, and communicates medical coverage/guideline changes/updatesVerifies insurance benefits and eligibility for patientsCommunicates with patients to resolve billing issues and ensures timely paymentMaintains accurate and up-to-date patient records in compliance with HIPAA regulationsWorks assigned reports accurately and timelyHelps facilitate interoffice communication on payor updates and trendsCompletes any adjustments/transfers of AR as requiredDocuments all activity in customer's computer account or applicable applicationsAnswers billing review specialist questions accordinglyReports issues and/or concerns in a timely mannerAvailable to assist other billing review specialists on the team with questions or needsActs as liaison between staff and managementEducationHigh School Diploma or General Education Degree (GED) RequiredKnowledge, Skills, and AbilitiesPast performance shows solid evidence of insurance qualifications and guidelinesTelephone etiquette and adequate oral and written communicationShows effective multitaskingPositive and cooperative attitude in working and communicating with individuals at all levels of the organizationMedical field experience preferred