At the direction of the Billing Supervisor, the Billing Specialist is responsible for the collection of all outstanding accounts. Responds to patients’ questions regarding billing statements either by telephone or in person. Coordinates with front office team to ensure all outstanding patient accounts are addressed before next appointment. Reviews and follows up on unpaid claims from 3^rd party insurance on an as needed basis based on each month-end accounts receivable report. Processes collection batches monthly.

• Responsible for the collection of all outstanding accounts.
• Responds to patients’ questions regarding billing statements by telephone.
• Coordinates with front office team to ensure all outstanding patient accounts are addressed before next appointment. 
• Reviews 90-day overdue patient balances and sends demand letters.
• Prepares 120+ day overdue balances for the collection agency.
• Posts all payments received from patients, insurance companies, and other 3^rd parties.
• At payment posting, bills secondary coverage or patient.
• Mails paper claims on a weekly basis.
• Ensures a deposit is prepared and deposited to the bank daily.
• Downloads electronic remittance advices (ERAs) from clearinghouse daily.
• Assists with coding duties as needed under the direction of the Billing Manager.
• Assists with special projects as assigned by the Billing Manager.
• Assists with following up on unpaid claims from 3^rd party insurance.
• May code and bill charges monthly as needed.
• Upholds a work environment that promotes teamwork, partnership, recognition, mutual respect, and collaboration, while role modeling the company values, behaviors, and culture of One.Team.Chumash.

• Performs other duties as assigned.

• High School Diploma or GED Certificate.
• Associate’s or Bachelor’s Degree in Medical Assisting, Accounting or equivalent work experience.
• One year of previous billing experience in the healthcare industry preferred.
• Intermediate computer proficiency utilizing Microsoft applications, e-mail, and internet.
• Practical knowledge of billing procedures, regulations, and principles to carry out a variety of billing functions.
• Medical Billing/Coding class completion.
• Bilingual in English and Spanish preferred. 
• Willingness to receive continuing education training (some travel required) such as CPC or CPB Certification.
• Native American hiring preference applies.
• Attention to Detail: Taking responsibility for a thorough and detailed method of working.
• Planning and Organizing: Setting priorities and defining actions, time, and resources needed to achieve predefined goals.
• Problem Solving: Having the ability to identify problems and issues of varying complexities and to find effective solutions with few guidelines.
• Oral Communication: Shaping and expressing ideas and information in an effective manner.
• Written Communication: Expressing ideas and opinions clearly in properly structured, well organized, and grammatically correct reports or documents; utilizing language and terminology that is understandable for the reader.