Billing Operations Specialist: MedRisk

Job Description

Job Description

Job Summary

*** Applicants must be within 35 miles of our King of Prussia, PA Headquarters ***

The Billing Operations Specialist is responsible for overseeing and managing the organization’s billing processes to ensure accuracy and timeliness. This role involves resolving billing discrepancies, handling customer inquiries, and monitoring billing systems and procedures. The specialist collaborates with cross-functional teams to streamline operations and improve efficiency. Additionally, they analyze billing data to identify trends and recommend enhancements that maximize revenue collection. Success in this position requires strong attention to detail, analytical skills, and a solid understanding of billing systems and procedures. Excellent communication and collaboration skills are also essential for effective teamwork.

Primary Duties & Responsibilities

• Perform complex billing, claim processing, and reimbursement type job functions

• Consistently meet production standards for assigned tasks

• Ensure department SLA and TAT are met

• Report regularly to management on patterns observed

• Propose solutions and enhancements to areas of opportunity

• Communicate effectively with vendors or client to optimize bill acceptance and collections

• Maintain strong working knowledge of various Revenue Operations workflows for regular assistance of other department tasks

• Ensure confidentiality of all patient accounts by following HIPAA guidelines

• Performs other duties as assigned

Qualifications

• College degree required

• Strong analytical skills

• Ability to triage and multitask

• Solid written and verbal communication skills

• Organizational and time management skills

• Proficiency with MS Office Products, advanced Excel knowledge required

• Medical billing experience preferred

• Basic understanding of HIPAA policies and procedures