• Billing Specialist

    Job Locations US-Audubon
    Posted Date 6 months ago(7/16/2018 10:52 AM)
    Job ID
    # of Openings
  • Overview

    TalentFleX Solutions, a leading Business & Technology consulting firm, is actively recruiting a Billing Specialist for a client in the Dresher, PA area. Attention to detail, computer skills, knowledge of ICD10 and CPT codes a must, along with Medical Billing procedures and terminology. The Billing Specialist is also responsible for training and re-training new and current employees and will help Supervisors/Manager of their daily work.


    • Run Daysheets
    • Process first-stage acknowledgements and promptly repair and/or resubmit any claim batches that are not acknowledged within 24 hours or initial submission.
    • Gather Billing information by reviewing physician created superbills, checking for completeness
    • Convert Superbills that are ready to be billed to claims and apply proper modifiers if not blocked and substituted
    • Check previous days to see if older superbills have become ready to be billed
    • Read and answer all messages sent by office
    • Bill carriers by inputting billing information and initiating electronic transmissions
    • Submit insurance claims to clearinghouse or individual insurance companies electronically or via paper CMS-1500 forms
    • Log into Clearinghouses and check previous days’ claims that were submitted, if any rejections, fix immediately
    • Ensure all claims are submitted with a goal of zero errors
    • Enter hospital charges (if any)
    • Provide client feedback on any coding errors or omissions
    • Resolve discrepancies by consulting with physicians to examine and evaluate data, selecting corrective steps
    • Enter claim numbers on claim tracking document (end of day/end of month)
    • Ability to focus and successfully meet monthly or quarterly goals set by Management
    • Ability to efficiently manage multiple tasks
    • Ability to prioritize workload
    • Assists in the research and correction of billing errors
    • Notifies Supervisor of any issues related to claims billing
    • Participates in professional/company development activities
    • Ensures strict confidentiality of client records
    • Meets routine deadlines and work schedules as well as timely and accurate completeness of special projects
    • Understand, support, enforce and comply with Company policies, procedures and Standards of Business Ethics and Conduct
    • Documents repetitive issues for corrective action
    • Maintains proficiency and level of knowledge with all systems required for task completion
    • Ensures compliance with all state and federal billing regulations and reports any suspected compliance issues to the respective Manager/Supervisor
    • Works with supervision, management and staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department
    • Performs miscellaneous duties as assigned
    • Review accounts in any region to find issues and errors
    • Report to Supervisor/Manager and issues they feel need to be addressed with specific accounts.


    • Three to five years electronic Medical Billing experience in a non-hospital setting
    • Experience working in a billing service environment
    • Experience in pediatric clinical settings a plus
    • Experience working in a team-oriented, collaborative environment
    • Experience with Salesforce and Google Docs
    • Knowledge of Insurance carrier payment policies, practices and amounts
    • Working knowledge and application of ICD-10, CPT and HCPCS coding
    • Must be comfortable working with different systems and software applications
    • Ability to effectively prioritize and execute tasks while under pressure
    • Active listening, interpersonal written and oral communication skills needed
    • Knowledge of applicable data privacy practices and laws necessary
    • Be constructive in a positive way
    • Stellar job performance appraisals
    • Dependability


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