Medical Billing & Coding Specialist

Position: Medical Billing & Coding Specialist

Salary: $17.00 - $22.00 per hour (Starting salary depends on education, licensure, and years of experience)

Job Type: Full Time Hourly

Purpose:

The Medical Billing and Coding Specialist plays a crucial role in ensuring accurate and efficient processing of healthcare claims.  Responsible for submitting claims to insurance providers and navigating the reimbursement process.  With an up-to-date knowledge of coding standards and attention to detail, the Medical Billing and Coding Specialist contributes to the financial health of the organization by optimizing billing procedures and maintaining compliance with regulatory requirements.

Essential Responsibilities

• Accurate preparation and submission of clean claims to medical insurances, government agencies, and private pay accounts (electronic and paper submissions).

• Monitoring unbilled report and ensuring timely filing of all claims.

• Checking the status of unpaid claims and collaborating with payors to resolve issues.

• Conducting claim inquiries and appeals.

• Handling payment posting.

• Preparing, reviewing, and sending client statements/invoices.

• Achieving maximum reimbursement for services provided.

• Collaborating with the Revenue Cycle Manager and Netsmart RCM team to troubleshoot billing and service entry errors.

• Working with program staff to address any billing-related concerns.

• Verifying financial eligibility for clients with Commercial/Medicaid/MC insurance.

• Staying informed on billing requirements from External Agencies, Medicaid, Medicare, and Commercial payors.
• Other duties as assigned.

Required Knowledge, Skills, and Abilities

• Understanding of CPT coding, diagnosis codes & medical terminology

• Ability to interpret remittance advice

• Proficiency with Microsoft Office applications; Excel skills required

• Excellent time management & customer service skills

• Attention to detail

• Must be a team player

Minimum Requirements

• Minimum two years of Medical Billing experience

• Previous Experience with Kansas and/or Missouri Medicaid billing a plus

• Certified medical coder preferred

In addition to the above requirements, incumbent must:

• Complete Sanctuary training in a timely manner;
• Have a valid driver's license and proof of current vehicle insurance;
• Follow all agency policies;
• Be able to pass State Abuse, Neglect and criminal background checks;
• Be able to carry out the essential functions of the position with, or without, accommodation. 
• Perform all job duties in a manner which demonstrates a commitment to Sanctuary values and practices.
• Demonstrate awareness and understanding of cultural and ethnic diversity of clients, staff and other community partners.

Physical Requirements

• Ability to perform a range of physical motions, but not limited to standing, walking and sitting for long periods of time; kneeling, squatting and stooping.

BENEFITS: Cornerstones of Care offers a competitive benefits package, which includes: Paid Holiday, Paid Time Away (unlimited PTO for all benefit-eligible, salary exempt team members), medical/dental/vision; prescriptions; accident and critical illness insurance; pet insurance; short-term disability; long-term disability; term life and accidental death and dismemberment (AD&D); health savings account (HSA); flexible spending account (FSA); retirement (401K); employee assistance program (EAP); YMCA membership discounts; Tuition Reimbursement Program and Public Service Loan Forgiveness.  To view a detailed Summary of Benefits please visit our website at www.cornerstonesofcare.org and under the heading “About Us” click on “Join Our Team.”

CORNERSTONES OF CARE’S ORGANIZATIONAL COMMITMENTS:

• Nonviolence-helping to build safety skills and a commitment to higher purpose
• Emotional Intelligence-helping to teach emotional management skills
• Social Learning-helping to build cognitive skills
• Open Communication-helping to overcome barriers to healthy communication, learn conflict management
• Democracy-helping to create civic skills of self-control, self-discipline, and administration of healthy authority
• Social Responsibility-helping to rebuild social connection skills, establish healthy attachment relationships
• Growth and Change-helping to work through loss and prepare for the future

Questions?

Please contact:  Cornerstones of Care, Human Resources Department

8150 Wornall Road, Kansas City, MO 64114

Phone: (816) 853-1942   Fax: (816) 508-1757

Like us on Facebook at: https://www.facebook.com/cornerstonescareers

Cornerstones of Care is an Equal Opportunity Employer