Medical Billing Specialist

How to Apply:

• Applicants must be residents of the state of Montana. Applicants residing in Bozeman will be preferred.
• Email cover letter/cover email, resume, and references to Kara Marceau at kmarceau@bridgercare.org

Description of Position:

• The Medical Billing Specialist supports medical coding, billing, and payment posting at Bridgercare. Interaction with patients and medical staff may be required to clarify billing and coding questions, and to provide educational support as needed. The Medical Billing Specialist is under the direct supervision of the Revenue Cycle Manager.

Hourly Rate and Benefits:

• Wage Range: $19.10-$28.65
• 32-40 hours/week
• Bridgercare offers a strong benefits package, valued at $28,320 a year for this position:
• Health insurance premiums paid in full
• Optional dental, vision, supplemental, and life insurance  
• 11 paid holidays
• Paid time off starts to accrue immediately upon hire with a maximum of 128 hours per year
• Flexible 4-day work week during regular clinic hour
• Mobile phone stipend totaling $312 annually
• Career development and continuing education opportunities
• Simple IRA retirement plan with a 3% employer contribution
• Bridgercare is a Public Service Loan Forgiveness (PSLF) eligible employer
• For more information visit:https://studentaid.gov/manage-loans/forgiveness-cancellation/public-service

POSITION RESPONSIBILITIES:

Understand coding of clinic encounters:

• Reviews diagnosis and procedure codes in a timely manner utilizing appropriate coding guidelines and entering charges into Bridgercare’s billing system.
• Communicates with clinical staff to clarify diagnosis or procedures for appropriate code assignment when documentation is unclear.
• Keep current with correct coding guidelines.

Bills claims to Medicaid, Medicare, third party carriers and private payers:

• Verifies insurance and completes essential insurance fields to ensure submission of claims is complete and accurate.
• Gathers relevant information prior to submitting claims.
• Submits CMS-1500 claims electronically to clearinghouse and filing a paper claim when applicable.
• Maintains and provides courteous relations with patients, insurance companies, adjustors, and staff.
• Is familiar with compliance issues that are in direct relationship with job.

Files and follows up on insurance appeals:

• Works to keep insurance A/R days to a minimum
• Reviews and investigates insurance denials for correction and resubmittal and works clearinghouse claims rejections.
• Investigates aging claims unbilled and billed, calls insurance companies for status of claim.
• Provides follow-up to Revenue Cycle Manager on insurance rejections and denials.
• Investigates credit balances and processes patient or insurance refunds when appropriate.

Posts payment to accounts in a timely fashion:

• Posts commercial insurance, Medicare and Medicaid electronic remittance advice, and any paper checks if received.
• Posts adjustments to accounts such as PPO discounts, sliding fee discounts, refunds.
• Posts payments from patients and clearly communicate with patients about fees, sliding scale, and payment arrangements.

Participates and contributes to billing office business operations:

• Participates in staff meetings.
• Assists in responding to patient inquiries.
• Records correspondence from patients in EHR.
• Be a resource to staff and patients to clarify billing and coding questions with the support of the Revenue Cycle Manager.

Other duties as assigned.

SKILLS AND ATTITUDES:

• Is commitment to Title X program goals and philosophy.
• Works effectively and sensitively with a diverse and limited resource population.
• Works calmly and effectively under pressure.
• Works in a team and shares responsibilities and duties.
• Resolves interpersonal conflict in a straightforward and timely manner.
• Sets priorities, is organized and a self-starter.
• Is friendly, empathic and communicates clearly orally and in writing.
• Treats staff, patients and community members respectfully.
• Efficiently navigates technology.
• Preserves privacy and confidentiality.
• Receives client complaints and assist in providing timely resolution.
• Contributes to a positive functional workplace culture.
• Practices and models Bridgercare's Group Norms.

QUALIFICATIONS:

Required:

• Experience with ICD and CPT coding, insurance processing, medical terminology.
• Proficiency in use of computers and accurate data-entry.
• Experience in the use of MS Word and Excel.
• Basic accounting.
• Telephone etiquette and exceptional customer service.

Preferred:

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Coding Specialist (CCS), or other AHIMA and AAPC recognized coding credentials.
• Experience working in sliding fee scale healthcare billing systems.
• Experience with Electronic Health Records.

REMOTE WORK ELIGIBILITY:

• Hybrid Eligible Position
• Position duties do typically lend themselves to some amount of remote work.
• 60% remote.

How to Apply:

• Email cover letter/cover email, resume, and references to Kara Marceau at kmarceau@bridgercare.org

Pay: $19.10 - $28.65 per hour

Expected hours: 32.0 – 40.0 per week

Benefits:

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

Application Question(s):

• Candidates must be located in Montana. Do you currently reside in Montana?

Work Location: In person

Salary : $312 - $28,320