Billing Specialist

Brief Description

Join the team at Malama I Ke Ola Health Center and make a meaningful impact in our community! We are seeking a part-time team member to join us at our downtown Wailuku location, working approximately 24 hours per week. This is an excellent opportunity for someone who enjoys working in a collaborative, mission-driven environment where every role contributes to providing quality healthcare for our patients. If you're dependable, customer-focused, and looking for a rewarding position with a great team, we'd love to hear from you!

Essential Duties And Functions

• Responsible for all patient phone calls and in-person/clinic interactions related to billing.
• Conduct research, resolve and communicate patient billing discrepancies and adjustments.
• Work with Member Services to communicate updated insurance demographics and sliding fee documentation and as well as assist front desk staff to help ensure patient
  
  

demographic, insurance, sliding fee and proof of income (POI) is accurately entered/updated in the system.

• Enter Medical Record charges in patient accounts.
• Work closely with providers and other clinical staff to ensure accuracy of billing.
• Maintain smooth patient flow.
• Communicate as needed with insurance plans on billing issues.
• Communicate information regarding patient billing activities and issues to the Controller
  
  

and Finance Team.

• Demonstrate ability to be viewed as a subject matter expert in their current role.
• Organize work/resources to accomplish objectives and meet deadlines.
• Demonstrate personal responsibility for job performance.
• Maintain relationships with health plans, healthcare providers, other professionals, coworkers and patients.
• Participate in quality improvement activities.
• Demonstrate a cooperative team approach in activities.
  
  

Other Duties

• Attends additional training sessions to improve deficiencies and enhance knowledge/skills.
• Performs other duties and functions, which facilitate interdisciplinary team process and are consistent with demonstrated competencies.
• Attends and participates in all-staff, departmental and targeted meetings consistently.
• Attends training sessions to improve and enhance knowledge and skills.
  
  

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential job function assigned satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

• High School diploma or GED. Business school or equivalent preferred.
  
  

Experience

• Minimum one year of experience in a medical/hospital setting AND/OR Medical Office Assistant Certificate.
• Medical Terminology, preferably in a billing or revenue cycle department
• Strong knowledge of HIPAA rules & regulations
  
  

Skills/Competencies

• Excellent written and verbal communication skills
• Self-learner
• Time management
• Ability to work independently with limited supervision
• Demonstrates positive attitude
• Works collaboratively with colleagues within and outside the department, including external vendors.
• Demonstrates flexibility in accepting, changing, or completing duties & responsibilities
• Proficiency with Microsoft Word and Excel
• Proficiency with office machines, i.e. adding machine, FAX, copier, PC, etc.
• Excellent knowledge of Hawaii insurance, including QUEST and managed care plans
  
  

Certifications

• TB clearance within previous 12 months.