Great opportunity to join a well-respected, award-winning, fast growing healthcare company based in Dallas-Ft. Worth with locations throughout Texas, as well as in California and Colorado. This position is located at our home office in Plano, TX at 3033 W President George Bush Fwy, 75075.

The Billing Specialist (Biller) in responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue. The Billing Specialist will proactively work assigned payer billing to maximize accurate and timely payment. Medicare/DME/Home Infusion billing experience preferred.

Major Responsibilities:

• Ensures daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined.
• Manages the Ready to Bill queue on a daily basis; performs QA to insure accurate and timely creation of new claims and generic invoices; insures submitted claims meet payer guidelines.
• Processes confirmed tickets in “unworked” status with 48 hours of confirmation date; assigns appropriate status to insure proper handling by branch and billing personnel; makes necessary demographic changes to reduce rejections of submitted electronic and paper claims.
• Works “resolved” unbilled tickets with 24 hours to “ready” or next status for resolution.
• Conducts billing utilizing most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority.
• Identifies patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets.
• Reviews delivery tickets for accuracy and completes claims per payer specific guidelines.
• If applicable, submits secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to insure expected revenue is allowed.
• Researches websites of assigned payers to bill for payer updates and shares updates accordingly.
• Works within specified deadlines and stressful situations.
• Works overtime when necessary to meet department goals and objectives.
• Performs other tasks or special projects as assigned.

Education/Experience:

• High School Diploma or equivalent (GED) required.
• Excellent interpersonal, communication and organizational skills required.
• Ability to prioritize, problem solve, and multitask is required.
• A minimum of 1-2 years experience in medical billing (preferably home infusion) with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred.

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