Medical Billing Specialist

JOB TITLE: Medical Billing Specialist

DEPARTMENT: Billing

FLSA STATUS: Non-Exempt

GRADE: 902

REPORTS TO: Revenue Cycle Manager

COMPANY OVERVIEW

Revagy, LLC is a laboratory billing company specializing in anatomic pathology, clinical pathology, dermatopathology, molecular, hematology, histology billing for inpatient and outpatient and clinical facilities. Revagy is committed to providing excellent service to our patients. Everything in Revagy’s organization – our commitment to service, the staff we recruit, the accountability we require of our staff, and our focus on smart business is shaped by our underlying commitment to excellence for our patients.

POSITION SUMMARY

The Medical Billing Specialist helps to calculate and collect payments for medical procedures and services. Their work includes updating patient data, developing payment plans, and preparing invoices. The medical billing specialist helps make sure an organization keeps a consistent revenue and works with insurance companies to ensure claims are paid on a consistent basis.

ESSENTIAL FUNCTIONS

Ensure all claims are submitted daily with a goal of zero errors.

Reading and interpreting medical coder information

Responding to inquiries from patients, providers, and clients

Ensuring adherence to and compliance of external (HIPAA) and internal system regulatory policies.

Retrieving missing data

Collaborates with Revenue Cycle Departments to ensure all bills are satisfied in a timely manner.

Prepare and submit billing data to insurance companies.

Ensure the patient’s medical information is accurate and up to date.

Management reserves the right to add, modify, change, or rescind the work assignments of this position as business needs warrant.

COMPETENCIES

TECHNICAL EXPERTISE – The incumbent demonstrates the technical capability and knowledge required for this role

QUALITY CONTROL – This role demonstrates accuracy and thoroughness and monitors own work to ensure quality

INTERPERSONAL SKILLS – This role maintains confidentiality, remains open to others’ ideas, and exhibits a willingness to try new things

PERFORMANCE MEASUREMENTS

Independently performs tasks of a routine nature

Consistently delivers quality work during allotted timeframes

Understands and ensure compliance with our Data Protection policies and procedures

Excellent core value performance

QUALIFICATIONS AND REQUIREMENTS

Education:

High School diploma or equivalent required

Associates Degree preferred

Required Qualifications:

1-2 years of medical billing; processes including insurance verification, loading, eligibility, Medicare/Medicaid/managed care billing requirements; preferably in anatomic pathology

Strong knowledge of medical terminology and human anatomy and physiology

Experienced with patient collections and accounts receivable

Knowledge of insurance reimbursement processes

Experience with various billing software systems (i.e. Cerner, XIFIN, Imagine, etc.)

Demonstrated proficiency with federal, state, and commercial insurance reimbursement regulations

Knowledge of Federal, state, and HIPAA privacy regulations

Ability to interact and collaborate with internal and external professionals

Exceptional verbal and written communication aptitude, with proven ability to positively influence behavior

Process and operational improvement experience

Highly self-directed, motivated, and able to work independently with minimum level of supervision

Professional, courteous demeanor and attire

Excellent administrative and organizational skills

Organized, detailed oriented and able to multi-task

Strong computer skills a necessity

Excellent interpersonal skills including conflict management

Strong understanding of Healthcare Revenue Cycle and client management

Solid technical skills to support multiple systems and technology platforms

TRAVEL AND HOURS

This position is full-time

No travel is required with this position

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

employee is regularly required to talk or hear

employee frequently is required to stand, walk, and use hands / fingers

employee is occasionally required to lift office products and supplies, up to 20 pounds.

EEO STATEMENT

It is the policy of Revagy to provide equal employment opportunities to all individuals regardless of their race, creed, color, religion, sex, age, national origin, disabilities, veteran status, marital status, sexual orientation, military status or any other characteristic prohibited by state or federal law.

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Hybrid remote in Lenexa, KS 66215

Salary : $18 - $23