Technician, Billing II

Description:PURPOSE: This position ensures that the more complex accounts are accurately invoiced reconciled and outstanding payments are collected so that the core system is correct and the client is satisfied. In accomplishing its accountabilities the position must interact and coordinate with accounts subscribers finance systems and other internal CareFirst departments as well external parties. This position is responsible for serving as point of contact for internal and external customers regarding all complex billing and collection issues. The associate will assist in the clarification and development of process improvements and inquiries assure payments related to services from all sources are recorded and reconciled timely in order to maximize revenues. The incumbent may be required to assist with projects for upper management by providing analytical and reporting support for such purposes as: operational efficiency / quality metrics and productivity analysis end-of-month accounts receivables reconciliation and monthly account aging reports. ESSENTIAL FUNCTIONS: 25 Researches and responds by telephone or in writing to complex patient inquiries regarding billing issues and problems. 25 Reviews billing forms for accuracy and completeness before sending to payors. 20 Assists in the preparation of monthly billing and accounts receivable reports. 15 Assists with complex billing issues including contacting insurance carriers to confirm patient eligibility and referral information. 10 Ensures all insurance demographic and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. 5 Adhere to HIPAA guidelines and other relevant state and federal regulations and company policies regarding to compliance integrity patient privacy and ethical billing practices. Qualifications To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Level: High School Diploma or GED Experience: 3 years experience in a Billing membership enrollment member services claims operations or Finance role Preferred Qualifications Knowledge Skills and Abilities KSAs Proficient in Microsoft Office applications. Advanced Provide excellent customer service with a focus on department goals. Advanced Works well in environment with firm deadlines results oriented. Advanced The incumbent is required to immediately disclose any debarment exclusion or other event that makes them ineligible to perform work directly or indirectly on Federal health care programs. Must be able to effectively work in a fast-paced environment with frequently changing priorities deadlines and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer including customers who may be demanding or otherwise challenging.Experience Level:Entry LevelAbout TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.