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MyCare Health Center
Center, MI | Full Time
$51k-69k (estimate)
10 Months Ago
Billing Specialist
$51k-69k (estimate)
Full Time 10 Months Ago
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MyCare Health Center is Hiring a Billing Specialist Near Center, MI

 Under the guidance of the Revenue Cycle Manager the Billing Specialist is responsible for the timely and accurate submission of all service related medical and dental claims for payment, posting of patient and insurance payments. Assisting with review & “working” of claim denials as needed. This position will maintain close relationships with the customer representatives for third party payers and will work with various entities to ensure proper provider credentialing and enrollment.
ESSENTIAL FUNCTIONS:
  1. Review provider coding for obvious errors, querying the provider when needed. Submit clean claims for payment to insurance companies.
  2. Processes payments from insurance companies, posting to the appropriate claim, making any needed adjustments and/or balance transfers.
  3. Processing secondary insurance claims.
  4. Answer questions from patients, clinic staff, and insurance companies
  5. Identify and resolve patient billing complaints
  6. Prepare and mail patient account statements
  7. Evaluate patient financial status and establish budget payment plans within given parameters
  8. Follow and the report status of delinquent patient accounts
  9. Performs various collection actions, including contacting patients by phone
  10. Prepares ad-hoc account reports as needed
  11. Maintains current knowledge of ICD10 coding standards and Medicaid/Medicare requirements
  12. Assist the Accounts Receivable Specialist with claim denials, claim corrections and un-paid claim follow up as needed.
  13. Assist Revenue Cycle Manager with periodic projects and assignments as needed.
  14. Conducts self in accordance with company employee manual
  15. Conduct oneself with the highest level of integrity and ethics
  16. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
QUALIFICATIONS:
  • High School Diploma or equivalent
  • 3 years’ experience in Medical Billing and Collections preferred
  • Completion of AAPC Dental and Billing Course is required within 90 days of employment, if not currently certified in dental coding and billing.
  • AHIMA or AAPC Medical Billing certification preferred-not required
  • Must be able to communicate effectively
  • CPR Certification offered-not required
SKILLS/EXPERIENCE:
  1. Knowledge of Allscripts highly preferred
  2. Knowledge of insurance guidelines, especially Medicare and Michigan Medicaid
  3. Understanding of basic medical coding and billing
  4. Knowledge of dental and behavioral health coding and billing preferred-not required
  5.  Basic Excel skills
  6. Ability to operate a computer and basic office equipment
  7. Demonstrated customer service skills
  8. Ability to read, understand, and follow oral and written instructions.
  9. Ability to establish and maintain effective working relationships with patients, co-workers and the public
  10. Must be well organized and detail-oriented
  11. Dedicated to the MyCare mission
MyCare Health Center is an Equal Opportunity Employer

Job Summary

JOB TYPE

Full Time

SALARY

$51k-69k (estimate)

POST DATE

07/09/2023

EXPIRATION DATE

06/20/2024

WEBSITE

mycarehealthcenter.org

HEADQUARTERS

Mount Clemens, MI

SIZE

<25

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The following is the career advancement route for Billing Specialist positions, which can be used as a reference in future career path planning. As a Billing Specialist, it can be promoted into senior positions as a Billing Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Billing Specialist. You can explore the career advancement for a Billing Specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Billing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Billing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

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A billing specialist will need to learn quickly and pick up whatever new skills are necessary.

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Step 3: View the best colleges and universities for Billing Specialist.

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