ABOUT BAYLESS INTEGRATED HEALTHCARE

Bayless Integrated Healthcare is committed to improving lives and transforming healthcare. We utilize our Core

Values as the foundation for all we do:

Compassionate: Compassion is the humane quality of understanding the needs of others, and wanting to do

something about it. We show kindness and a willingness to help others. We always provide care for our colleagues,

our patients and our community.

Adaptable: The ability of our team to adapt to different environments, conditions and changes is imperative to deliver

high quality care. Adaptable people are open to others while realizing the impact of their own words, tone and body

language on others.

Innovative: Our team must have creative and critical thinking in order to introduce new ideas. Our commitment is

creating a comprehensive healthcare delivery system like nothing done, experienced or created before.

Reliable: As a patient and community centric organization, being reliable is of the utmost importance. In order to

achieve results, we must have a team comprised of consistent and trustworthy individuals that can be counted on to

follow through.

Relentless: We have an unwavering commitment to improve the healthcare system, disrupt the status quo, and

create a better community. We are driven individuals that exemplify intensity and the pursuit of excellence. A strong

work ethic and enthusiasm are necessary in order to help our patients, improve our community, and accomplish our

goals.

POSITION SUMMARY

The billing specialist’s job description involves computing balances, recording billing payments and compiling account

statements for a company. He/she can also be responsible for preparing invoices for the delivery of services

rendered. Other duties they may perform include calculating penalties, interest and late fees for clients who are past

due on their payment and accounts.

Primary Job Responsibilities:

• Review insurance denials for potential trends and payer issues

• Submit corrected claims to payers

• Work denied claims in assigned aging bucket

• Call payers to reprocess claims denied in error

• Post patient and insurance payments to the EHR

• Scrub Psychiatry and Medical claims to ensure proper coding of procedure codes and diagnosis

• Collaborate with Front Desk and call center staff on patient insurance and balance questions

• Verify insurance 48 hours before patient appointments to determine eligibility

• Make calls to patients to facilitate collectability and resolve insurance issues

• Receive patient calls regarding billing questions and resolve disputes

• Submit past-due unresponsive patient balances to collection agency

• Scan paper EOB results to vendor

• Practices active listening skills and exceptional customer service skills

• Other duties assigned as needed

QUALIFICATIONS

Education, Certification, and Experience Requirements

• Associate degree or combination of equivalent education and experience.

• Knowledge of HIPPA requirements related to medical records and billing

• Exceptional communication and time management skills

• Experience with EHR systems preferred

• Requires exceptional attention to detail

• Ability to work independently