Job Description
Overview:
Muscatine Public Health
Billing Specialist II
Full-Time + Benefits
Primarily responsible for prompt and accurate billing for services provided to patients within Public Health. Includes patients who self-pay, on payment plans, fee scales, waivers, or are covered by third-party payers including Medicare, Medicaid, Blue Cross/Blue Shield, Commercial, and all Managed Care Organizations (MCO). Responsible to secure timely and accurate reimbursement from third-party payers based on appropriate billing and follow-up activities. Assist and perform various general office and clerical duties.
Why UnityPoint Health?
- Culture – At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
- Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
- Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
- Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
- Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.
Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.unitypoint.org
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Responsibilities:
Payment Processing Accountabilities
- Processes write-off sheets, payment, and statements
- Completes and submits claims for payment, hard copy and electronic
- Responsible for accuracy and third-party compliance in all aspects of billing activities
- Maintains timely and thorough claims follow-up to assist in the reduction of days in the Accounts Receivable and payer turnaround.
- Identify a credit balance account and make the correct determination as to who/where the credit balance should be refunded or transferred
- Identify potential discrepancies in claims payment processing and resolve
Billing System Accountabilities
- Entry of some electronic billing system (EPIC) and to ensure accurate and timely submission of claims
- Work accounts receivable aging reports performing follow up in accordance with policies and procedures.
- Frequent and regular use for pulling any reports, billing codes, or updates on any third-party billing (TPB) site, access to TPB claims, Medicaid or Medicare sites
Billing Research and Reporting
- Maintain current knowledge of 3rd party/MCO specific requirements through communication with program contacts, management, attending meetings, workshops, newsletters, or other meetings held by 3rd parties acting as a Public Health liaison
- Assist to produce EPIC reporting for Leadership as requested by grants or ad hoc.
- Research gaps or potential incorrect billing for PH programs and assist Leadership in resolution.
- Assist to maintain quality by standard reviews on electronic and medical charts specific to billables and reportable data as entered by peers
Qualifications:
Education:
- 2-year degree or medical billing education or comparable experience
Experience:
- Prior work experience in a medical office setting required.
License(s)/Certification(s):
- Prior work experience in a medical office setting required.
Knowledge/Skills/Abilities:
- Knowledge of ICD-10 and CPT codes.
- Strong Problem solving/Project management experience
- Knowledge of general accounting principles and practices
- Experience with highly confidential information
- Ability to work with little or no supervision
- Competency in Microsoft programs, Word, Excel, also EPIC, Outlook and Internet