Medical Billing Specialist

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Job Type

Full-time

Description

CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services.

Job Summary

This position is responsible for posting all third-party insurance payments, process all denials appropriately and follow up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R.

Work Schedule Demands

• This is a full-time position, 40 hours a week.
  
  

Requirements

REQUIRED QUALIFICATIONS:

• 1-3 years of experience in third-party billing
• Medical Billing Certification, preferred
• Must possess all basic billing knowledge and understanding of third-party reimbursement
• Knowledge of physician referral protocols and conventions
• Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures and documentation
• High School Diploma or GED
• Must have excellent communication skills both written and verbal, and internal personal skills.
• Ability to read, understand and follow oral and written instructions
• Must possess professional telephone manner
• Must be able to use a computer and possess basic skills in Microsoft Office products, ie Excel, Outlook and Word
• Excellent analytical and problem-solving skills
• Ability to perform multiple tasks effectively
• Able to work both independently and as part of a team
• Strong knowledge of practice management system, preferred
• Bilingual in Spanish, preferred.
• Provide/maintain all required immunizations and/or vaccinations.
• Complete/maintain all required background checks.
  
  

Key Responsibilities

• Record and post all third-party payments and adjustments in practice management system
• Works with manager to evaluate denials and trends in insurance payments and denials
• Works with Billing Manager and Site Managers to train and educate staff on proper procedures
• Answers questions from patients, clerical and front desk staff and insurance companies
• Identifies and resolves patient billing complaints
• Prepares and reviews weekly patient statements
• Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts
• Participates in educational activities and attends monthly staff meetings
• Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers
• All other assignments as directed by Billing Manager
  
  

CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, marital status, familial status, military status, or any other characteristic protected by federal, state, or local law. This applies to all terms and conditions of employment, including but not limited to recruiting, hiring, placement, promotions, terminations, layoff, recall, transfer, leaves of absence, compensation, and training.

Our Benefits

Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, life insurance, long term disability, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, Employee Assistance Program, generous vacation, sick and personal days, and up to 13 available paid holidays for full-time employees and some benefits are included for part-time employees.

Salary Description

$19.00 per hour