Medical Billing Specialist II

Billing Specialist II Salary $21.00 to $22.00 Full time and in-office

Benefits: 403(b), 403 (b) matching, dental insurance, health insurance, paid time off, vision insurance, flex spending account, health saving account, life insurance, critical illness, short-term and long-term disability and accident insurances

Responsible for visit review, billing, payment posting and payroll functions.

• Protects confidential information and understands responsibilities regarding the Health Insurance Portability and Accountability Act (HIPAA) and protected health information (PHI).
• Complies with safety instructions, observes safe work practices, and provides input on safety issues and promotes a safe work environment.
• Meets the agency's expectations for exemplary customer service.
• Pursues learning opportunities to enhance personal and professional capabilities.
• Adheres to all agency policies and procedures.
• Complies with all local, state, and federal laws and regulations.
• Attends required meetings.

• Audit and prepare home health and clinic therapy visits for billing.
• Billing of home health or clinic therapy visits both primary and secondary claims.
• Accounts receivable claim corrections, review and rebilling of any unpaid claims.
• Prep, calculate and prepare payroll timesheets for an assigned portion of employees.
• Post payments into medical billing system based on EOBs received for all lines of business.
• Serve as backup to process and maintain all prior authorization requests for agency services.
• Processing prior authorization.
• In rotation for finance departments after hours on call scheduling.
• Provide backup support to others in the financial services department.
• Performs other related job duties as required.

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
• Minimum education:
  
  high school diploma or equivalent required.
• Additional related vocational coursework is preferred.
• Minimum Experience:
  
  three years of work-related experience in a similar environment.
• Knowledge of medical billing/collection practices.
• Knowledge of business office procedures.
• Comfortable dealing with numbers and the processing of financial information.
• Knowledge of MS Office (particularly Excel) and electronic medical records systems.
• Strong customer/client focus.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with clients, employees, vendors and other stakeholders.
• Adherence to laws and best practices regarding dealing with customers and data.
• Strong problem solving/analysis skills.
• Time management and multi-tasking skills.
• Must be well-organized and detail oriented.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard.

Work is generally performed in an office environment during normal business hours of Monday through Friday, 8:00 am to 4:30 pm. This position requires after-hours or on-call scheduling.

Computer based word processing. Office equipment used such as copiers, printers and fax machines.