Billing Technician II (Remote)

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:

• Researches and responds by telephone, or in writing to complex patient inquiries regarding billing issues and problems.
• Reviews billing forms for accuracy and completeness before sending to payors.
• Assists in the preparation of monthly billing and accounts receivable reports.
• Assists with complex billing issues, including contacting insurance carriers to confirm patient eligibility and referral information.
• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner.
• Adhere to HIPAA guidelines and other relevant state and federal regulations, and company policies regarding to compliance, integrity, patient privacy and ethical billing practices.

QualificationsEducation Level: High School Diploma or GED Experience: 3 years experience in a Billing, membership enrollment, member services, claims operations or Finance role. Knowledge, Skills And Abilities (KSAs)

• Proficient in Microsoft Office applications.
• Provide excellent customer service with a focus on department goals.
• Works well in environment with firm deadlines; results oriented.
• 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.

DepartmentDepartmentEqual Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of theCompany to provide equal employment opportunities to allqualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.