What are the responsibilities and job description for the On Site Medical Billing Specialist position at Spokane Dermatology Clinic?
Spokane Dermatology Clinic has been setting the national standard for dermatological care in this region for quite some time. Under the leadership of Dr. Werschler, a world-renowned expert in both medical and cosmetic dermatology, we have assembled one of the finest teams in the world to provide you with the highest level of care available.
We are currently seeking a Medical Billing Specialist to join our clinic.
The Medical Billing Specialist is primarily responsible for maximizing revenue and reimbursement through the effective management and utilization of revenue cycle processes and information flow. Specifically, this position is responsible for the revenue and billing processes and systems, and procedures supporting insurance verification, patient account billing and collections, coding and documentation, charge entry, and account adjudication. The Medical Billing Account Specialist creates and fosters a culture of inclusivity, respect, understanding, and empowerment in service to the well-being and growth of its providers, patients, and employees.
Primary Responsibilities:
- Works across functional groups to help monitor and improve all aspects of revenue cycle, including, but not limited to, insurance verification, patient registration, co-pay collection, billing, coding, AR management, system design, operation metric development, payment posting and account reconciliation.
- Maintains detailed knowledge of current government and third-party payor-specific regulations and ensures the clinic is compliant with billing and documentation requirements
- Analyzes payor performance and provides analytics related to all payors.
- Collaborates with payor key personnel on strategy and resolution of issues with goal of improving reimbursement.
- Team Management: Works with Office Manager to develop, monitor, coach, and manage staff ensuring the development of employees through orientation, training, communication of rules and constructive discipline.
- Compliance: Maintains best practices that align with Compliance and HIPAA Guidelines.
- Implements and enforces written policies and procedures that govern proper claims accounting functions.
- Ensures Billing Department adheres to regulations, company policy, HIPAA, 42CFR, CMS, HRSA, FQHC guidelines and statutes and contract requirements, as applicable.
- Actively identifies, initiates, drives and participates in quality improvement initiatives related to the revenue cycle in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
- Prepares operational metrics and statistical reports along with completing all required projects and reports as directed.
- Monitors key performance indicators in revenue cycle and works closely with management to improve cash flow, reduce denials, and minimize bad debt.
- Works with EHR vendor on issues and system upgrades to maximize practice management system utilization.
Qualifications
- Bachelor’s degree in finance, business administration, healthcare administration, or related field, preferred but not required
- Certificate in Medical Billing & Coding, preferred
- Certified in coding is a plus
- Minimum 1 years of supervisory experience, preferably in health care and behavioral health setting
- Minimum 3-5 years’ experience in billing, accounts receivable, CPT and ICD-10 coding
- Working knowledge of regulatory requirements pertaining to health care operations and their impact on cross functional organizational operations
- Sound knowledge of health insurance payors
- Proficient in all Microsoft Office applications as well as medical office software. Recent experience working with AdvancedMD and ModMed EMA is preferred
- The ability to work in a fast-paced environment, with a high attention to detail
- Must be self-motivated and detail-oriented, with the ability to work independently
- Excellent communication skills, both oral, written, and interpersonal
- Flexible, strategic team player with infallible integrity and ethical standards
Competitive compensation and benefits package including medical, dental, vision, 401k, and paid time off.
Job Type: Full-time
Pay: From $24.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Are you located in or near Spokane, WA?
Education:
- High school or equivalent (Preferred)
Experience:
- Microsoft Office: 5 years (Preferred)
- Customer Service: 3 years (Preferred)
- Medical Billing/Coding: 3 years (Preferred)
Location:
- Spokane, WA 99202 (Preferred)
Ability to Commute:
- Spokane, WA 99202 (Required)
Work Location: In person
Salary : $24