Billing & Collections Specialist
On-site · San Antonio, Texas, United States
Job Summary
Billing & Collections Specialist in the Business Office manages revenue cycle duties to ensure financial success for the facility. Responsibilities include billing and revenue coding, collections across payer types, interpreting insurance benefits, authorizations, admissions sources, contract reimbursement, claim editing, clearinghouse processing, adjudication, and appeals/denial management. The role requires HIPAA-conscious behavior, professional presentation, teamwork, and ability to adapt to changing tasks. Daily functions encompass accurate billing for diverse admission types and payers, monitor accounts receivable, address payer denials with timely appeals, and maintain documentation within the EHR. Strong English communication, Microsoft Office and Excel proficiency, experience in healthcare billing, and basic cash handling are preferred.
Required Qualifications
- Demonstrates eligibility for employment in the U.S.
- High School graduate or equivalent
- Minimum of one year of experience in business office activities within a healthcare environment
- Ability to relate and work effectively with others
- Demonstrated verbal and written communications in English for contacting payors, patients, and co-workers
- Demonstrated computers skills in utilizing work processing, integrated database, and understanding of mathematical calculations and medical terminology
- Ability to use office machines (copiers, faxes, and scanners), and telephone systems
- Proficiency using and knowledge of Microsoft Office, computers, patient accounting systems and Microsoft Excel
- Prior cash handling/collection experience is preferred
- Ability to type 20 WPM
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