Medical Billing Specialist, Orthopedics; Novato

Medical Billing Specialist, Orthopedics, (Novato), Full-Time, Days page is loaded## Medical Billing Specialist, Orthopedics, (Novato), Full-Time, Days locations:
Novato, CAtime type:
Full time posted on:
Posted Yesterday job requisition :
MHMN
20 - 1574
** ABOUT MARINHEALTH
** Marin Health is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Health grades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
** Company:
** Prima Medical Foundation dba Marin Health Medical Network
*
* Work Shift:

** 8 Hour (days) (United States of America)
** Scheduled Weekly

Hours:

** 40
* * Job Description

Summary:

** The Billing Specialist is responsible for the coordination of full-scope for each assigned specialty. In conjunction with Practice Leaders ensures accurate charge capture and management of the reconciliation process. Daily review and working of revenue cycle work queues is essential. Communicates with coding vendor regarding surgical procedures. Trains support staff on appropriate billing procedures. Works with Revenue Cycle and Operation Directors on overall status of outstanding billing for these specialties.
** Job Requirements, Prerequisites and

Essential Functions:

** Pay Range:  $23.00 - $27.40 - $31.73
** Essential Functions and Responsibilities:
*** Effectively uses application of “Current Procedural Terminology” (CPT) coding system; interprets appropriately and accurately.
* Ensures clinical staff and providers submit proper and accurate documentation for the services being provided.
* Serves as a liaison/resource for clinical and non-clinical staff regarding revenue cycle processes.
* Responsible for completion of all claims and itemized bills daily, with complete accuracy.
* Responsible for the daily review of appropriate reports from Apex and reporting any discrepancies to the Practice Leader.
* Performs quality control functions on claims and itemized bills to ensure overall accuracy to assure prompt and correct payments.
* Fosters effective working relationships with external organizations and agencies as required.
* Responsible for maintaining a strong focus on assigned tasks and at all times being a strong team player.
* Ability to exercise initiative, decision-making, and problem solving.
* Ability to manage multiple tasks in a busy clinical environment.
* Ability to prioritize tasks and manage time efficiently.
* Other duties as assigned
*
* Qualifications:

*** Strong interpersonal skills with ability to communicate in a clear and positive manner both verbally and in writing.
* Ability to read, understand, and follow oral and written instruction with attention to detail required.
* Ability to problem solve and monitor / track data, identify trends and create solutions.
* Understanding of insurance payors, prior authorizations and eligibility requirements.
* Knowledge of computer systems and applications, i.e. Microsoft Office, Excel, Word.
** Licensure:
*** Coding specialist certification preferred.
*
* Education:

*** High school diploma or General Education Degree (GED) required.
*
* Experience:

*** Minimum 3 years’ experience in medical billing.
* Experience in health care customer service.
* Experience with Apex/Epic preferred.
* Experience and current knowledge of ICD
10CM
, CPT, and HCPCS coding methods. Coding experience a plus.
** Accommodation:
** Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at  or Talent Acquisition.
** C.A.R.E.S. Standards:
** Marin Health seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues.
** Health & Immunizations:
** To protect employees, patients, and our community, Marin Health requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law.
** Compensation:
** The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with Marin Health’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements.
** Equal Employment:
** All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.
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