Billing Specialist Job Description: Top Duties and Qualifications

A Billing Specialist, or Billing Clerk, is responsible for overseeing the billing process for customers or patients. Their duties include processing payments on behalf of a customer or patient, maintaining organized financial records to aide reporting and calculating bill totals by looking through previous financial statements.

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Billing Specialist duties and responsibilities

Billing Specialists perform many accounting, customer service and organizational tasks to promote the financial health of their organization. These duties and responsibilities often include:

  • Searching each financial statement for any payment inconsistencies or errors
  • Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors
  • Creating invoices and billing materials to be sent directly to a customer or patient
  • Inputting payment history, upcoming payment information or other financial data into an individual account
  • Finding financial solutions for patients or customers who may need payment assistance 
  • Informing patients or customers of any missed or upcoming payment deadlines
  • Calculating and tracking various company financial statements
  • Translating medical code if working in a medical setting

Billing Specialist Job Description Examples:

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Billing Specialist

Royal Home Care Services Inc, has an immediate need for an experienced Billing Specialist who is familiar with Pennsylvania CHC billing, VA billing, and Medicare billing. We file claims through HHA Exchange, Promise, Axxess, and various clearinghouses. The ideal candidate will be detailed oriented, completely comfortable with billing processes, spreadsheets, and basic accounting. Previous experience with HHA Exchange and PA Community Health Choices billing is a must.

Job Responsibilities include:

  • Process claims to Managed Care Organizations, Medicare, the Veterans Administration, and other payers.

  • Process insurance claims for private and employer insurance reimbursement

  • Process private-pay invoices and collections

  • Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses

  • Process and follow up on payer denials, rebilling or submitting adjustments as needed

  • Post invoices and payments in Quickbooks in a timely manner

  • Research and resolve billing problems or issues

  • Document payment records and issues as they occur

    Job Qualifications include:

  • High School Diploma (college degree preferred)

  • Experience billing Pennsylvania CHC Managed Care Organizations

  • Experience billing through the Pennsylvania Promise system

  • Excellent command of spreadsheets

  • Basic experience with Quickbooks (Quickbooks Online preferred)

  • Experience with HHA Exchange for claims submission

  • Experience billing the Veterans Administration

  • Ability to learn new procedures and solve problems

  • Attention to detail

    Other

  • The ideal candidate will be comfortable working remotely with flexible hours but must be available for office meetings as needed.

    Job Type: Part-time

    Salary: $22.00 to $28.00 /hour

    Experience:

  • medical billing: 1 year (Preferred)

  • billing: 1 year (Preferred)

    Work Location:

  • Fully Remote

    Benefits:

  • None

    Hours per week:

  • 10-19

    Typical start time:

  • 9AM

    Typical end time:

  • 5PM

    Schedule:

  • Monday to Yes
  • ×

    Billing Specialist

    Come Grow With Us! If you are a team player, have leadership skills, want to work in an exciting, fast-paced environment, where you can provide meaningful contributions and make a difference in the lives of individuals with mental health issues. We encourage you to apply!!

    Purpose:

    This is a great opportunity for an Billing Specialist to join South County Mental Health Center. This position will be responsible for in-patient, out-patient billing, researching claims, getting claims processed, and collections or claims follow-up

    Responsibilities:

  • Research any paid claims not consistent with original claim, make any corrections and appropriate adjustment documentation

  • Research each denied claim and re-bill accordingly.

  • Responsible for processing any updated information for claims to reprocess and ensure timely payment.

  • Post payments to the client's accounts and ensure appropriate allocation.

  • Complete monthly billing reports.

  • Must have strong attention to detail and organizational skills and ability to multi- task.

  • Responsible for retrieving missing information, and accurately preparing and billing for assigned charges daily.

  • Meticulous thought, well-organized and attention to detail.

  • Update patient benefit, demographic and insurance information as needed.

  • Guidelines related to Hippa, OIG, compliance, medical coding, billing behaviors and practices.

  • Responsible for following up on: unpaid, denied or rejected claims

    Qualifications and Skills

  • High School diploma or equivalent

  • Three (3) years experience in insurance billing

  • Knowledge of electronic billing system

    Preferred

  • Education & Experience

  • AA/AS

  • Five (5) years experience in billing preferably for Behavioral Health Care Services

  • Knowledge of insurance collections or claims follow up preferred

    Benefits:

    Scmhc offers a competitive salary and benefits package for full time employees (prorated for part-time), including:

  • Individual Center Sponsored Health Insurance and Pro-rated Dependent Health Insurance

  • Discounted Dental, Supplemental Life Insurance and Short-Term Disability coverage

  • Company Paid Long-Term Disability and Life Insurance

  • 2 Week Paid Vacation (increases with seniority)

  • 6 Paid sick days per year (increases with seniority)

  • 1 personal day

  • Birthday Bonus

  • 10 Days paid Holiday Leave

  • 401K with 3% employer match

    This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned including but not limited to, attending multi-disciplinary treatment team and QI meetings. Management retains the right to add or change the duties at any time.

    Job Type: Full-time

    Experience:

  • Medical Insurance: 1 year (Preferred)

    Education:

  • High school or equivalent (Required)

    Work authorization:

  • United States (Required)

    Work Location:

  • One location

    Benefits:

  • Health insurance

  • Dental insurance

  • Vision insurance

  • Retirement plan

  • Paid time off

    This Company Describes Its Culture as:

  • Detail-oriented -- quality and precision-focused

  • Outcome-oriented -- results-focused with strong performance culture

    Schedule:

  • Monday to Friday

  • Day Waiting period may apply
  • ×

    Billing Specialist

    A leading innovative healthcare company specializing in the rental of medical equipment urgently hiring an experienced Collector/Billing Specialist Lead in Houston, Texas.

    Job Duties

  • Make outbound collection calls in a fast-paced goal-oriented accounts receivable department

  • Assist with the monthly Rental billing process

  • Resolve customer discrepancies and short payments

  • Monitor and maintain assigned accounts, customer calls, account adjustments, small balance write off, customer reconciliations and process credit memos

  • Reduce delinquency of assigned accounts

  • High volume phone calls/emails to customers and sales team

  • Reconcile customer disputes regarding balances due

  • Assist Billing, Sales and Accounting departments to resolve billing issues

    Requirements

  • 2+ years high volume corporate collections experience

  • Knowledge of billing and collections procedures

  • Ability to work overtime during monthly Billing

  • Lead or Supervisory experience required

    Job Type: Full-time

    Experience:

  • Billing: 1 year (Preferred)

  • High Volume Corporate Collections: 2 years (Preferred)

  • medical office, DME and/or oilfield collections: 1 year (Preferred)

  • Lead or Supervisory: 1 year (Preferred)

    Location:

  • Houston, TX 77040 (Required)

    Benefits:

  • Health insurance

  • Dental insurance

  • Vision insurance

  • Retirement plan

  • Paid time off

    Schedule:

  • Monday to No
  • What does a Billing Specialist do?

    Billing specialists typically work for insurance companies or healthcare facilities to maintain accurate financial records and payment procedures. They work closely with customers, patients or company personnel to create invoices and check for calculation errors on invoices and other billing statements. Their job is to contact customers to remind them of upcoming payment deadlines and help customers find financial aid options to reduce their medical or insurance bills. They may also be responsible for converting medical code into a readable format and using software programs to organize payment data.

    Billing Specialist skills and qualifications

    A Billing Specialist uses soft skills, technical abilities and industry-specific knowledge to manage their organization’s accounts, including:

    • Strong communication, including writing, speaking and active listening
    • Great customer service skills, including interpersonal conversation, patience and empathy
    • Good problem-solving and critical thinking skills
    • In-depth knowledge of industry best practices
    • Basic math, bookkeeping and accounting skills
    • Organization, time management and prioritization abilities
    • Ability to be discreet and maintain the security of patient or customer information 
    • Effective computer skills to input to use bookkeeping and account management software in a timely and efficient manner
    • Understanding of industry-specific policies, such as HIPAA regulations for health care

    Billing Specialist salary expectations

    A Billing Specialist makes an average of $16.66 per hour. Pay rate depends on level of education, experience and geographical location.

    Billing Specialist education and training requirements

    Entry-level Billing Specialist candidates should have at least a high school diploma or GED. Candidates applying to more complex roles may need a professional certification, associate degree or bachelor’s degrer in bookkeeping, accounting, business administration or another relevant field. Those applying in specific sectors, like health care, may need an education and training background in health care administration, medical billing or medical coding. Some relevant certifications include Certified Professional Biller, Certified Professional Coder and Certified Medical Reimbursement Specialist. 

    Billing Specialist experience requirements

    Entry-level candidates may have experience in administrative support or general bookkeeping and may benefit from additional on-the-job training to more easily learn their new responsibilities. Experienced candidates may have experience working in a billing, accounting or finance department. Other experienced candidates may have previous experience within their industry, such as those with previous roles in medical billing and coding, health care administrative support or banking customer service.

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    Frequently asked questions about Billing Specialists

     

    What is the difference between a Billing Specialist and a Customer Service Representative?

    Billing Specialists and Customer Service Representatives both interact with their business’s customers or patients. However, they differ from one another in their levels of seniority, work environment and scope of job responsibilities. For example, a Billing Specialist typically works for insurance companies and medical facilities to process customer payments, review financial documents and contact customers about late or upcoming bills. In contrast, Customer Service Representatives can work for a range of companies across industries as a part of their customer service department. 

    Further, although Customer Service Representatives can help customers order products or return their purchases, they focus more on listening to customer complaints and helping them understand how to use their company’s products or services. Another way to differentiate between these two roles is that Billing Specialists have less seniority than Customer Service Representatives, and typically go on to assume a role in customer service as a part of their career development,

     

    What are the daily duties of a Billing Specialist?

    On a typical day, a Billing Specialist starts by checking their email and voicemail. They answer time-sensitive messages from customers or patients regarding their payment options and upcoming deadlines. Throughout the day, they engage in face-to-face interactions with customers or participate in conversations over the phone to receive their payment information and answer questions. Billing Specialists use their downtime to create invoices, send out payment notices and check receipts to ensure they received the correct amount of payment from a customer or patient.

     

    What qualities make a good Billing Specialist?

    A good Billing Specialist has a personable manner that enables them to interact with customers in a positive way. Being personable also ensures that Billing Specialists represent their company well. Billing Specialists should have excellent attention to detail, which allows them to catch calculation errors on invoices before being sent out to customers. For Billing Specialists working in healthcare facilities, they should have a proficient understanding of medical coding and seek continued education initiatives to improve their skill level.

     

    Who does a Billing Specialist report to?

    A Billing Specialist typically reports to a Billing Manager in large or medium-sized establishments. Billing Managers act as a point of communication for questions and relay policy information to a team of Billing Specialists. In small healthcare facilities, a Billing Specialist may report directly to the Clinical Supervisor or Clinical Director.

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