Medical Billing Specialist
JOB SUMMARY

In-house medical billing position for Rural Health Clinic billing. Position located at company headquarters, billing for multiple locations. Will be joining a tight-knit and great billing team. This job will involve billing Part A and Part B.

JOB RESPONSIBILITIES

Generally, duties include core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, billing records review, and customer service.

• Daily bill and submit Rural Health Clinic claims for all insurance companies with a goal of <1% errors;
• Daily research and resubmit corrections and appeals of front-end claims edits, clearinghouse returns, rejected or denied claims, and no response claims;
• Daily reconcile EOBs to post payments so that every day ends with a zero-balance;
• Daily maintain and update billing software information, i.e., patient information, provider information, practice information, fee/charge information, etc.
• Routinely meet with the Billing Team Supervisor to discuss and resolve reimbursement issues or billing obstacles;
• Routinely prepare and send patient statements for service amounts such as co-payments, deductibles and coinsurance;
• As requested, reply to medical records requests, complete additional information requests, etc.;
• As needed, assist the Billing Team Supervisor with other functions;
• Perform other duties as assigned.

QUALIFICATIONS

Experience

REQUIRED: 2 years medical claims billing.

Education/Certification

REQUIRED: High school diploma or GED equivalent.

PREFERRED: Certification in one of the following:

Certified Coding Specialist (CCS),

Certified Coding Specialist Physician (CCSP),

Certified Professional Coder (CPC),

Certified Professional Coder Payer (CPC-P),

Registered Health Information Administrator (RHIA), or

Certified Outpatient Coder (COC/CPCH).

PREFERRED: Associates degree or higher.

Skills

Able to:

• Submit both paper and electronic claims as well as client invoice billing;
• Abstract clinical information from a variety of medical records, charts, and documents;
• Assign appropriate ICD-10 and/or CPT/HCPCS codes to patient records according to established procedures;
• Interpret & implement specified insurance billing guidelines;

Has knowledge of:

• Payor updates as it relates to bundling and unbundling charges, medical necessity, and general coding specifications;
• Insurance billing and system guidelines including Medicare, Medicaid, and other payors;
• Medical terminology likely to be encountered in medical claims;

Excellence and experience in:

• General computer skills;
• Microsoft Word and Excel;
• Navigating EMRs or EHRs;
• Navigating payor/insurance websites and portals for claim information;
• Using billing software;
• Telephonic communication abilities with insurance payors to resolve issues;
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

Job Type: Full-time

Pay: $40,000.00 - $45,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Please list any medical billing certifications or licenses you have (for example, CCS, CPC, etc.).

Education:

• High school or equivalent (Required)

Experience:

• Medical Billing: 2 years (Required)

Work Location: In person