Billing Specialist at Heart City Health Center

Elkhart, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

15 Feb, 26

Salary

0.0

Posted On

17 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Communication Skills, Customer Service Skills, Mathematical Skills, Computer Skills, Time Management Skills, Cultural Diversity Awareness, Independent Work, Team Collaboration, Problem-Solving Skills, Organizational Skills, Detail-Oriented, Knowledge of Insurance Programs, Familiarity with Coding, Training Skills, Regulatory Knowledge, Billing Compliance

Industry

Medical Practices

Description

Position Summary: This is a full-time hourly (non-exempt) position. Overall goal is accurate charge entry and timely collection of monies due from various carriers and patients for medical, dental and behavioral health claims. Essential Functions: 1. Post encounters as assigned and verify all Insurance Carriers 2. Audit and chart review in a timely and accurate manner for coding and billing compliance, review all posted encounters for assigned pay codes. 3. Make sure assigned codes meet all federal, legal and insurance regulations. 4. File secondary claims and follow through. 5. Submit all approved tickets electronically to the clearinghouse and retrieve and process reports from them or print them on paper, if necessary. 6. Post payments received from third party payers manually, or if electronic posting is enabled for payer, review for oddities and make corrections when needed. 7. Resubmit denied claims after review and corrections are made. 8. Run aging detail and monitor old claims for payment status and correct as necessary monthly. 9. Ensure all measures are exhausted to collect from Insurance carrier before claim is submitted to Revenue Cycle Manager for approval to write off. 10. Inform the Manager of any issues that arise. 11. Provide training for the front desk staff on insurance carriers on an as needed basis. 12. Assist providers or procedure entry staff with coding for encounters and/or hospital billing 13. Monitor regulatory changes pertaining to Medicare, Medicaid, and Commercial insurance. 14. Credentialing duties as assigned providers with all insurance carriers. 15. Work on special billing/financial projects and train new employees as requested. 16. Attends billing seminars and workshops as needed. 17. Working knowledge ICD-10, current procedural coding. 18. Other duties as assigned. Knowledge, Skills and Abilities: 1. Excellent communication skills; active listening as well as written and oral comprehension/communication skills; Gives full attention to what individuals are saying, understands the point being made, asks appropriate questions to gain better knowledge of situation(s) and repeats information to ensure understanding; public speaking skills necessary; bilingual (English/Spanish) language skills helpful 2. Excellent customer service skills actively seek ways to assist internal and external customers within the scope of assigned duties 3. Good basic mathematical skills use a calculator or other means to accurately assist in financial matters 4. Good computer skills; Outlook, Windows, Microsoft Office, Excel applications. 5. Good time management skills self-evaluate the use of time and understands how others may be affected 6. Cultural diversity awareness and skills; respects all people regardless of race, nationality or social standing 7. Ability to work independently (self-motivating) and as a team member 8. Ability to develop a collaborative therapeutic alliance with individuals and make accurate professional judgments 9. Ability to build and maintain effective working relationships with co-workers, providers, managers, patients, agency resource personnel and community members in general 10. Familiarity with local community resources for patients with chronic disease 11. Knowledge of the health and human services infrastructure, health insurance programs and public coverage options 12. Problem sensitivity skills; empathetic/understanding 13. Deductive reasoning and problem-solving skills 14. Organized and detail-oriented 15. Familiar with Prior authorizations and referrals as needed for claims. Education, Experience and Licensure: 1. High school diploma or equivalent (GED) required 2. Degree or Certificate in Billing/Coding preferred 3. Certified in Medical and/or Dental coding preferred 4. Two years’ experience required 5. Computer knowledge required; Windows, Microsoft Office applications and Practice Management Systems 6. Prior experience in professional office environment preferred Physical Demands: 1. May sit and/or stand for long periods of time 2. Must be able to see and hear within normal range with or without correction device(s) 3. Dexterity and hand-to-eye coordination as normally associated with operating office equipment, computers and telephone Working Conditions: Professional, fast-paced office environment

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Responsibilities

The Billing Specialist is responsible for accurate charge entry and timely collection of payments for medical, dental, and behavioral health claims. This includes posting encounters, auditing for compliance, filing claims, and monitoring payment statuses.