Billing Specialist

Parnall Law Firm seeks a Billing Specialist to join our growing team. This is an entry-level position and training will be provided to the ideal candidate.

MISSION STATEMENT

Confirm and coordinate health insurance benefits to optimize health and automobile insurance payments for treatment related to the injuries arising from their legal claims.

Use this understanding to maximize the recovery for our clients.

Verify balances due to providers ensuring disbursement is accurate.

Assist Case Managers and Paralegals to achieve desired results on behalf of the client.

RESULTS / OUTCOMES (What you must get done.)

  • weekly firm wide huddle every Monday morning at 8:00
  • daily team mini huddle Tuesday through Friday at 8:00 am
  • biweekly meeting with Team Lead to go over individual metrics, and metrics of Team, fully prepared with supporting data.
  • all subrogation claims within 14 days of signed retainer.
  • Med Pay and Health Ins information to all treating providers within 30 days of being retained.
  • Med Pay and Health Ins information to all treating providers when providers are updated by Case Manager, within 15 days of new provider information.
  • final health insurance and med pay ledgers within 7 days of client finishing treatment and being moved to Prep.
  • all outstanding medical balances within 7 days when a case moves into negotiations.
  • any outstanding medical balances within 5 days of a case being settled.
  • final health insurance and med pay ledgers within 3 days of a case being settled.
  • overdue tasks never exceed 60

DUTIES / RESPONSIBILITIES

  • up with all providers after providing med pay and health insurance info to ensure bills are being properly submitted to the proper carrier.
  • accurate record of all bills, payments, adjustments, and the remaining balances due to facilitate negotiating discounts by disbursement staff, paralegals and attorneys; thus maximizing recovery for our client.
  • all checklist items in a timely fashion.
  • benefits with available insurance including but not limited to Med Pay, Health Insurance, Medicaid, Medicare, Veterans Benefits and other Federal and State programs.
  • claims and submit necessary documents for Medicare and Medicaid benefits.
  • unrelated claims.
  • the client’s Medicare portal.
  • incoming calls via the First Call Group
  • dashboard Metrics/KPIs and successfully work toward keeping those metrics in top shape.
  • and maintain all firm policies and procedures.

COMPETENCIES

  • communication skills, verbal and written.
  • advocacy for client and against pushy insurance representatives or medical providers.
  • and motivation to exceed expectations.
  • attire and demeanor.
  • to learn, develop, and motivate team members.
  • player.
  • to change in a rapidly changing environment.

Parnall Law Firm is an EOE