Job Description: Billing Specialist | Department: Finance | Status: Full-Time Exempt
Location: 6374 Lincoln Ave Chicago IL 60659
Reports To: COO | Compensation: $45k - $55k annually
The Billing Specialist is part of the finance team at Midwest Refuah Health Center (MRHC). Some of the responsibilities are focused on account receivables, collections, billings, claim submissions, collections and working with payers.
Job Duties and Responsibilities:
Performs all billing functions including but not limited to charge posting, claim preparation, claim review, and claim submission to patients and all third-party payers either by paper or electronically.
Consults with billing and clinical staff and patients regarding insurance eligibility and benefits, billing financial policy and patient account status as needed. Identifies and resolves patient billing complaints.
Answers patient emails and Billing customer service line; follows up on patient and billing staff requests in a timely, courteous, and professional manner with exemplary customer service.
Bills all payers including but not limited to: Medicaid, government programs, private and Medicare for health center. Answers all insurance inquiries.
Performs EOB/Denial management daily and or weekly to maintain a current and up to date status on all denials. Corrects and submits claims for re-bill to insurance carriers weekly. Maintains individual AR goals set by COO.
Posts payments (electronically and manually) and processes all payments to patients and insurance companies in which overpayments have occurred.
Performs electronic billing processing/batch submission daily and reviews all claims rejected by clearinghouse and corrects claims and resubmits the claims daily.
Keeps track of daily encounters as requested. Discuss with COO and Practice Manager regarding missing encounters as requested and according to defined procedure or as directed by the COO.
Processes all incoming and necessary outgoing faxes/email. Accurately identifies information to be released according to billing policy and adhering to HIPAA rules and regulation.
Answers all patient account inquiries made from staff, patients, and payers; Recognizes billing related issues outside of the scope of billing services or individual realm of knowledge and forwards to COO for intervention.
Utilizes electronic medical record system to run reports for: follow-up on claim status, processing of patient accounts, and month end reporting as indicated by the COO or Practice Manager.
Ability to adhere to the Attendance policy and procedure; maintain a clean, professional demeanor in all situations, and work cohesively and effectively within a close on-site group work setting.
Ability to identify and share billing process improvements and department efficiency gains by constant attention to workflows.
Ability to collaborate, teach, support and function in an organization revolved around client satisfaction and education. Must demonstrate a willingness to work as a team, across billing functions, and in response to organizational needs while maintaining accurate and trustworthy billing practices.
Qualifications:
High School diploma or equivalent required. Additional studies in medical coding and Medical Terminology knowledge preferred.
Licensure or Certification is not required, although CPC certification or AAPC billing specialty related certification is preferred.
1 – 3 years of commercial and managed care organizations experience preferred
Efficient and accurate data entry.
Clear written and verbal communication.
Proficient use of telephone, fax machine, and computer.
Must have pleasant and courteous telephone voice manners. (Must be knowledgeable in several types of office equipment.).
eClinicalWorks (eCW) electronic medical record system experience is favorable.
Strong public relations and communication skills in dealing with patients and billing staff. Communicates well with consultants, outside agencies, and co-workers. Ability to maintain a professional attitude in difficult situations. Understands the needs of the billing department and is a team player.
Requires critical thinking skills and attention to detail. Must be able to be flexible to address a variety of tasks. Must be well organized. Must be able to manage multiple telephone lines ringing simultaneously. Must be able to prioritize work with strong decision-making capabilities.
Able to hear on the phone and in person and visually able to identify correct patient and provider. Visual acuity to proficiently perform essential duties, view a computer screen and sit at a desk for extended periods of time.
Other duties as assigned by the COO, including but not limited to establishing and maintaining relationships with payor representatives, keeping up to date on payor policy changes and reporting back to COO to affect internal policy changes.
Midwest Refuah Health Center is
Job Type: Full-time
Pay: $45,000.00 - $55,000.00 per year
Benefits:
Physical setting:
Schedule:
Work Location: Hybrid remote in Chicago, IL 60659
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