JOB DESCRIPTION

POSITION TITLE: Medical Billing and Collections Specialist

LOCATION: HOPE Clinic - Main (possibility of hybrid after completion of 3 month introductory period)
REPORTS TO: Revenue Cycle Manager
EDUCATION: HS diploma and successful completion of a medical billing/coding certification program.

WORK EXPERIENCE: 6 months of applicable experience or graduated from a Medical Billing program within the last two years; willing to get coding certification within a year of employment.

FLSA STATUS: Hourly, non-exempt

LANGUAGE: Bilingual preferred

HOPE Clinic is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including but not limited to disability, race, creed, color, age, sex, religion, political opinion, national or social origin, etc.

JOB SUMMARY:

The medical billing and collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record contractual adjustments base on payer contracts or government regulations. In addition, the medical billing and collection specialist must demonstrate proficiency with billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

MAJOR DUTIES & RESPONSIBILITIES:

• Responsible for charge and payment entry within Electronic Health Record. Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication;
• Responsible for correcting, completing, and processing claims for all payer codes;
• Analyze and interpret that claims are accurately sent to insurance companies;
• Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports;
• Process appeals online or via paper submission;
• Assist in reconciling deposit and patient collections;
• Assist with billing audit related information;
• Process refund requests;

• Attend provider meetings/ workshops when needed;
• Communicate with billing and credentialing coordinator to identify and resolve audit review issues;
• Process billing calls and questions from patients and third party carriers;
• Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.;
• Communicate daily with internal and external customers via phone calls and written communications;
• Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor;

• Research, record findings, and communicates effectively with Manager to achieve optimum performance;
• Pursue and participate in education to remain current with changes in the Healthcare industry;
• Maintain patient confidence and protects medical office operations by keeping patient information confidential;
• Contribute to team effort by accomplishing related results as needed;
• Promote effective working relations and work effectively as part of a team to facilitate the department’s ability to meet its goals and objectives;
• Demonstrate respect and regard for the dignity of all patients, families, visitors, and fellow employees to insure a professional, responsible and courteous environment;
• Attend on-site/off-site community engagement activities and on-site/off-site clinic events as needed;
• Perform other duties as assigned to support HOPE Clinic’s Mission, Vision, and Values.

QUALIFICATION REQUIREMENTS:

• Minimum of two years of related experience in a business, medical or technical environment;
• Previous experience in a medical office setting and/or experience with an Electronic Medical Record a plus, eClinical Works experience preferred;

• Customer service driven;
• Understanding of medical terminology and insurance laws/guidelines;
• Excellent organization and time management skills along with excellent oral and written communication skills;
• Strong team player;
• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision;
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required.
• Must be fully vaccinated against COVID-19.

OTHER SKILLS and ABILITIES:

• Bilingual (Vietnamese, Chinese, Arabic and/or Spanish with English) is preferred.
• Above average skills in language ability as well as public speaking and writing.
• Must have good transportation and a valid Texas Driver’s license.

AMERICANS WITH DISABILITIES SPECIFICATION:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to stand, sit, talk, hear, stoop, kneel, and use hands and fingers to operate a computer and telephone keyboard reach;
• Specific vision abilities required by this job include close vision requirements due to computer work; Ability to uphold the stress of assisting patients of diverse backgrounds;
• Regular, predictable attendance is required;
• Must have the ability to lift up to 50 lbs

HOPE Clinic is a smoke-free and drug-free workplace in compliance with federal guidelines.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Houston, TX 77036: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• HOPE Clinic has mandated the COVID-19 vaccine, will this be an issue for you?
• What language(s) other than English do you speak and understand?
• Please note that this position has a possibility of hybrid work after completion of 3 month introductory period, is this okay with you?

Education:

• High school or equivalent (Required)

Experience:

• ICD-10: 1 year (Preferred)

Language:

• a language other than English (Preferred)

License/Certification:

• Medical Billing Certification (Preferred)

Work Location: One location

Please Note :
bankofmontserrat.ms is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, bankofmontserrat.ms provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.