Clinic Billing Specialist Job Sedalia area,Missouri USA,Healthcare

Overview

JOB TITLE:

Clinic Billing Specialist
JOB CODE: 6481
JOB

HOURS:

8:00 AM to 4:30 PM

JOB SUMMARY:

The Clinic Billing Specialist is responsible for computer and billing systems, for electronic insurance processing and follow-up, and for setting up payment plans and handling collection activities. The Billing Specialist reports directly to the Director of Clinic Financials.

Qualifications

Education:

High School education or equivalent with on-the-job training for Clinic specific systems.
Added training in data processing, computer systems and typing is desired.

Licensure/Certification:

Work Experience:

Prefer two to three years’ experience in data processing systems and Medical Office Insurance preparation.

Responsibilities /

Job Duties

Billing all primary and secondary claims as assigned for all clinics daily reports as assigned.

Work remittance advices for denials and possible resubmission or corrected claims.

Respond to patient phone inquiry as needed. Reconcile the account and understand what the balance consists of (i.e., deductible, co-insurance, co-pay, etc.).

Follow up with insurance payers on claim resolution to have accounts resolved in a timely manner to either zero or self-pay balance.

Process credit balances as assigned.

Document in Meditech system an action taken on patient’s account.

Set up payment plans and/or collect self-pay balances on patient accounts.

Required Staff Competencies

Demonstrates support for organizational and departmental mission.

Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives.

Fosters and promotes teamwork within department and the organization as a whole.

Works to resolve conflicts constructively and in a timely manner.

Ability to communicate effectively and simply with every customer and co-worker.

Ability to display a positive, courteous and friendly attitude toward all contacts.

Ability to build good relationships with others based upon a sustained effort of mutual support toward common goals.

Ability to exercise good judgment, reasoning and concentration to detail and to take personal accountabilities for all actions in carrying out job duties.

Is customer focused and committed to Quality and Process Improvement with a strong desire to provide service excellence.

Possesses and displays a strong knowledge and understanding of the standards of practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.

Possesses a vigorous and enthusiastic desire to learn and to grow both personally and professionally, and to improve one's skills in order to deliver the best possible care for our customers.

Working Conditions

Clinic setting.

Generally sedentary position.

Subject to frequent interruptions.

Required to multi-task.

Exposed to stressful situations.

Other office duties as needed.

Must maintain high level of confidentiality.

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