Billing Specialist

Billing Specialist

Location:

Martindale Brightwood Health Center – 2855 N Keystone Avenue, Suite 100, Indianapolis, IN 46218

Fair Labor Standards Act Classification:
Non‑Exempt

The Billing Specialist at the Health Net Administration location reviews accounts for assigned payers to reduce accounts receivables and enhance cash flow. The billing specialist follows proper insurance processes, timely follow‑up, and resolution of accounts, and provides feedback to management when internal problems resulting in nonpayment of claims are detected. This position is responsible for all aspects of electronic or paper claim submission.

• Contact patients to make payment plan arrangements.
• Work with collection agencies to resolve outstanding patient balances.
• Serve as liaison to third party payers, patients and families, providers and staff and referral sources for communicating billing information.
• Initiate collection with all insurance carriers on electronically submitted and/or paper claims.
• Assist with posting mail receipts, Medicare, Medicaid, HMO and PPO payment listings against individual patient accounts.
• Review third party payment listings and take appropriate action on accounts to avoid account aging.
• Make recommendations/decisions on account resolution.
• Review billing for accuracy and completeness.
• Review and correct billing and collection problems arising in patient care facilities.
• Maintain the confidentiality of any patient medical, financial, or personal information and other information records and data to which there is access.

• Full Time
• Potential schedule of Monday‑Friday 8am‑5pm

• Currently not sponsoring for work visa.
• Requires High School Diploma or GED.
• Understanding of both Federally Qualified Health Centers and Commercial billing and collections.
• Certification in coding & billing preferred.
• Knowledge and understanding of Medicare/Medicaid regulations and billing requirements.
• Participate in monthly training programs for staff on policies and procedures related to billing and collection, including proper coding, use of sliding fee scales, and financial screening.

• Experience in third party billing/collection with in-depth knowledge of specific third‑party payer requirements.
• Requires working knowledge of medical terminology and basic medical coding practices (UBC; CPT‑4; HCPCS; ICD‑9).
• Requires knowledge and proper application of remote electronic inquiry systems for Medicare;
  Medicaid;
  Blue Cross and/or all other Commercial payers.
• Requires ability to process adjustment claims to Medicaid and Medicare payers on resolution of credit balance claims.
• OB/GYN coding experience preferred.
• Bilingual in Spanish or Burmese preferred, but not required.

• Strong written and verbal communication skills.
• Ability to work independently, handle detail and work efficiently and accurately under pressure.
• Ability to multitask.
• Ability to handle sensitive patient data and must maintain a high degree of confidentiality.
• Excellent customer service/listening skills.
• Reliable transportation required.

• Competitive Compensation
• Medical, Dental, and Vision Plan
• Short‑Term & Long‑Term Disability
• Health Savings Account & Difference Card Available within certain medical plans
• Flexible Spending Account Life Insurance, AD&D
• Group Accident, Critical Illness & Hospital Indemnity
• Domestic Partner Leave
• Wellness Programs
• 401(k) Match
• Paid Time Off accumulates at start of employment and available to use.
• Tuition Reimbursement
• Employee Referral program

Health Net is an Equal Employment Opportunity Employer and employment decisions are made without regard to race, color, sex, religion, national origin, age, disability, sexual orientation, or any other category protected by federal, state, or local law.

Health Net is a nonprofit 501(c)(3) organization of community‑based health centers located in Indianapolis and Bloomington, IN. Since 1968, Health Net has improved the health status of the neighborhoods it serves by making quality health services accessible to everyone. Health Net annually provides affordable health care to more than 61,000 individuals through its network of 9 primary care health centers, 5 dental clinics, 9 school‑based clinics, a mobile health unit, and additional support services.

Health Net’s mission is to improve lives with compassionate health care and support services, regardless of ability to pay.

Entry level

Full‑time

Accounting/Auditing and Finance

Hospitals and Health Care