Billing Specialist | Part-time

Position: Billing Specialist 1 | Part-time
## Billing Specialist 1 | Part-time Apply locations:
Phelps Health Hospital time type:
Part time posted on:
Posted Todayjob requisition :
JR103529
** Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.
** No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.
** General Summary
*** The Billing Specialist I is responsible for collecting and entering claims, post insurance, submit claims, and answer patient inquiries on accounts. Reports to the Billing Supervisor.
** Essential Duties and Responsibilities
*** Enters information necessary for insurance claims such as patient, insurance, and insurance  claim information in complete and accurate.
* Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04 and/or CMS-1500 form.
* Answers patient questions on patient responsible portions, copays, deductibles, write-off's, etc. resolves patient's complaints or explains why certain services are not covered.
* Follow up with insurance company on unpaid or rejected claims. Resolves issues and re-submits claims.
* Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany letter.
* Follows HIPAA guidelines in handling patient information.
* May perform "soft" collections for patient past due accounts. This may include contacting and notifying patients via phone or mail.
* Understand managed care authorizations and limits to coverage such as number of visits.
* Verify patient benefits eligibility and coverage as needed.
* Prepares and submits secondary claims upon processing by primary insurer.
** Education
* ** High School Diploma or GED required.
** Work Experience
*** Medical billing experience highly preferred. Experience in billing software and electronic data submission preferred.
** Certification/License
*** Certification/License
** Mental/Physical Requirements
*** Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Ability to stand, walk, sit, and reach. Occasionally lifts and transports items weighing up to ten (10) pounds. .
** Working Conditions
*** Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.
* At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.
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