Job Description

Medical Billing Specialist (Part-Time) - On site

Schedule: Flexible, 20 hours per week

GENERAL DESCRIPTION:

Under the guidance of the Revenue Cycle Manager the Billing Specialist is responsible for the timely and accurate submission of all service related 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 to 3 years' experience in Medical Billing and Collections preferred
• 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 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. Applicants will be considered for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristics protected by applicable law. MyCare Health Center

Job Tags

Part time, Flexible hours,

Similar Jobs