What are the responsibilities and job description for the MEDICAL BILLING SPECIALIST position at didgʷálič Wellness Center?
Description
The didgwalic Wellness Center is seeking an enthusiastic and caring Medical Billing Specialist to join our integrated care clinic that combines primary care, behavioral health, and opiate treatment all in place. This is an excellent opportunity to be employed in an environment that values a holistic approach to healthcare and demonstrates a commitment to employee wellbeing by providing a supportive environment that encourages personal and professional growth. Medical Billing Specialist processes and follows-up on Medicare and Medicaid billing, reviews remittance advice forms to verify proper reimbursement, and adjust as necessary.
Schedule: Monday - Friday, 7am - 3pm *This is an onsite position*
At didgwálic Wellness Center, we prioritize the well-being of our patients and staff alike. We offer our employees an excellent total compensation package, that includes some of the following. If this sounds like an opportunity, you’re interested in exploring further please apply today! We’re excited to meet you!
Some Of Our Benefits Include
Education and Experience:
The didgwalic Wellness Center is seeking an enthusiastic and caring Medical Billing Specialist to join our integrated care clinic that combines primary care, behavioral health, and opiate treatment all in place. This is an excellent opportunity to be employed in an environment that values a holistic approach to healthcare and demonstrates a commitment to employee wellbeing by providing a supportive environment that encourages personal and professional growth. Medical Billing Specialist processes and follows-up on Medicare and Medicaid billing, reviews remittance advice forms to verify proper reimbursement, and adjust as necessary.
Schedule: Monday - Friday, 7am - 3pm *This is an onsite position*
At didgwálic Wellness Center, we prioritize the well-being of our patients and staff alike. We offer our employees an excellent total compensation package, that includes some of the following. If this sounds like an opportunity, you’re interested in exploring further please apply today! We’re excited to meet you!
Some Of Our Benefits Include
- Competitive base compensation and benefit package.
- Comprehensive health, dental, and vision insurance
- Employer-paid life insurance, AD&D, short- and long-term disability
- 401(k) Retirement Plan with up to a 4% employer matching
- 4 weeks of Paid Time Off (PTO)
- 13 paid holidays observed
- Great working hours for work-life balance
- Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
- Responsible for accurate medical coding, charge entry, claims submissions, payment posting.
- Follows up on unpaid claims within standard billing cycle timeframe.
- Checks each insurance payment for accuracy and compliance with contract discount.
- Calls insurance companies regarding any discrepancy in payments as necessary.
- Identifies and bills secondary or tertiary insurances.
- Investigates and appeals denied claims.
- Answers all patient or insurance telephone inquiries pertaining to assigned accounts.
- Analyzes billing and claims for accuracy and completeness; submits claims to proper insurance entities and follows up on any issues.
- Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings.
- Ensures that the activities of the billing operations are conducted in a manner that is consistent with overall department protocol, and are following Federal, State, and payer regulations, guidelines, and requirements.
- Keeps up to date with carrier rule changes and distributes the information within the practice.
- Understands and remains updated with current coding and billing regulations and compliance requirements.
- Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.
Education and Experience:
- High School Diploma or equivalent required.
- Medical billing and coding certification preferred.
- Two (2) years of experience as a certified coder required.
- Certified Navigator/Tribal Assister preferred.