Billing & A/R Specialist

Billing and A/R specialist requirements include full revenue cycle duties including submitting a clean claim and/or assisting with said submission, verify contractual payment is received and/or appealing a denial, answering patient phone calls and reviewing patient statements, working A/R.ESSENTIAL DUTIES AND RESPONSIBILITIESThe following statements are illustrative of the essential duties of the job and do not include other non-essential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time.1.Accounts Receivable Collections & ManagementWorking directly with the insurance company, healthcare provider, and patient to get claims processed and paidReviewing and appealing unpaid and denied claimsRunning A/R reports.Working Unpostables, denials, and claims worklists per Athenahealth Best Practices.Answering phone calls with patients' billing questions2.ProductivityClearing a minimum of 20 claims per day out of assigned claims worklistKeeping A/R less than 180 daysAnswer patient phones calls as per assigned position on the phone tree, minimizing voicemails3.PoliciesWork within guidance of Billing Compliance PlanWork within Billing Guidelines4.Maintain and follow strict privacy, confidentiality, and safety protocols. Comply with all government regulations around the following:HIPAAOSHAPCI DSS5.Other Administrative DutiesMaintain a clean and organized work environmentDeliver faxes to billing department staff member when appropriateQUALIFICATIONSTo 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 for this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Minimum Education/ExperienceHigh School Diploma or High School EquivalencyStrong computer skills required5 years healthcare experience2+ years billing experiencePreferred Education/ExperienceSome college - medical, business, accounting focusBilingualEMR experience preferred - Athenahealth practice management systemCertified biller, coder, and/or 5 years experience billing, coding, or high level of insurance knowledgeCUSTOMER SERVICE EXCELLENCEProvide customer service in accordance to clinic missionDemonstrate ability to be courteous and respectful when interacting with patients and family membersMaintain patient confidentiality in accordance to policy and procedure and HIPAA requirementsEnact proper chain of command for patient complaintsLANGUAGE SKILLS---Ability to effectively present information and respond to questions from groups of managers, patients, and the general publicMATHEMATICAL SKILLSAbility to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimalsREASONING ABILITY---Ability to define problems, collect data, establish facts, and draw valid conclusionsAPTITUDES AND TEMPERAMENTS REQUIREDMust have a high level of energy with the ability to adjust to any justifiable pace.Make decisions based more on fact than feelingExhibit behavior which emphasizes compassion, quality, loyalty and conscientiousnessAbility to establish and maintain effective working relationships with patients, their families and staff membersSUPERVISORY RESPONSIBILITIESThis position does not have any supervisory responsibilitiesJOB ELEMENTS/WORKING CONDITIONSWhile performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear.Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.Frequently lift and/or move up to 10 pounds and occasionally lift and/or move more than 25 pounds.Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.Work EnvironmentThe above statements describe the general nature and level of work performed by people assigned to this classification. They are not an exhaustive list of all responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.Salary : $19 - $23 / hourBenefits Offered:--- Health insurance plan options for you and your dependents--- Dental, and Vision, for you and your qualified dependents--- Company Paid life insurance--- Voluntary options for short-term disability, and long-term disability coverage--- AFLAC Plans--- Eligible for 401(k) after 6 months of employment with a 4% match that vests immediately--- PTO accruedOnPoint Medical Group is an EEO Employer.#ID22#PM22#ZR
Compensation details: 19-23 Hourly WagePI618fdc98bb81-25660-33554393