Medical Billing Specialist

Position Title: Billing Specialist

Reports to: Revenue Cycle Manager

Job Status: Full-Time

FLSA Status: Non-Exempt

Positions Supervised: None

Position Summary:

Coordinates all patient and insurance billings for the medical facility by performing the following duties.

Essential Functions:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Responsibilities include the following. Other duties may be assigned.

· Contacts patients regarding outstanding balances.

· Establishes payment plans to help patients manage payment of bills.

· Sends delinquent accounts to collection agencies.

· Identify, validate, and issue refunds if applicable.

· Problem solves for charge, payment, adjustment, and balance discrepancies.

· Manage unapplied payments.

· Work in collaboration with our Billing Company to rebill insurance or other third parties to secure payment for patients.

· Verifies all entries made by cashiers and makes corrections if necessary.

· Verifies all charge batches using claims validation.

· Trains appropriate personnel on computerized billing system.

· Responds to patient billing and statement inquiries.

· Makes recommendations to management for write-offs.

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

· Dependability – Follows instructions, responds to management direction; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.

· Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Follows through on commitments.

· Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs workflows and procedures; Ability to use Language, Mathematical and Reasoning skills appropriately.

· Job Knowledge - Competent in required job skills and knowledge; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Requires minimal supervision; Displays understanding of how job relates to others; Uses resources effectively.

· Communications - Expresses positive ideas and thoughts verbally and/or in written form; Exhibits good listening and comprehension; Keeps others adequately informed; Selects and uses appropriate communication methods; Able to read and interpret written information.

Education, Experience and Skills

· One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.

· To perform this job successfully, an individual should have knowledge of Word Processing software, Spreadsheet software and Internet software.

· Ability to use Language, Mathematics and Reasoning skills appropriately.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Work primarily in a climate-controlled environment with minimal safety/health hazard potential.

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. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit, stand, walk, use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Experience:

• Medical billing: 1 year (Preferred)

License/Certification:

• Medical Billing Certification (Preferred)

Work Location: Hybrid remote in St. Louis, MO 63141

Salary : $39,251 - $49,924