Billing Specialist

1 week ago

Twin Falls, Idaho, United States Family Health Service Full time
Job Type

Full-time

Description

SUMMARY:


Performs a variety of complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems.

Follows up on submitted claims and patient billing; resubmits claims or resolves problems. May handle cash items and accounts receivable posting.

Starting pay of $16.25 DOE.

Requirements

MINIMUM QUALIFICATIONS:


High school diploma or GED; experience in the medical and/or dental field that is directly related to the duties and responsibilities specified.


KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

  • Ability to interact and communicate with people over the telephone, often in stressful situations.
  • Knowledge of medical insurance claims procedures and documentation.
  • Knowledge of medical billing procedures.
  • Basic data entry and/or word processing skills.
  • Ability to communicate effectively, both orally and in writing.
  • Ability to gather data, compile information, and prepare reports.
  • Ability to use independent judgment and to manage and impart confidential information.
  • Ability to verify data input and correct errors.
  • Records maintenance skills.

DESCRIPTION OF DUTIES:

  • Processes billings to patients and third party reimbursement claims; maintains supporting documentation files and current patient addresses.
  • Processes patient statements, keys data, posts transactions, and verifies accuracy of input to reports generated.
  • Researches and responds by telephone and in writing to patient inquiries regarding billing issues and problems.
  • Follows up on submitted claims; monitors unpaid claims, initiates tracers; resubmits claims as necessary.
  • May receive and receipt cash items and third party reimbursements; posts and reconciles payments to patient ledgers.
  • Balances daily batches and reports; prepares income reports and statistics; distributes reports.
  • Maintains patient demographic information and data collection systems.
  • Participates in development of organization procedures and update of forms and manuals.
  • Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
  • May assist in preparing documentation and responses for legal inquiries, litigation, and court appearances.
  • Ensures strict confidentiality of financial records.
  • Performs miscellaneous job-related duties as assigned.

OTHER RESPONSIBILITIES:

SAFETY:


Family Health Services enforces a safety culture whereby all employees have the responsibility for continuously developing and maintaining a safe working environment.

Each employee is responsible for completing all training requirements, participating in emergency response tasks as requested, and serving on safety committees and teams as requested.

In addition, employees must accept the responsibility for maintaining the safety of themselves and others by adhering to all written and verbal instructions, promptly reporting and/or correcting all hazards or unsafe conditions, and providing feedback to supervisors and management on all safety issues.


COMPLIANCE (MEDICARE):

Family Health Services is committed to the very highest standards of ethics and integrity.

It is our policy to properly determine the accuracy of reporting and billing our services in accordance with the rules, laws and regulations of FHS, the state government, and the federal government.

FHS employees will do their part to ensure accurate documenting and billing practices, participate in compliance trainings and will identify and report any concerns or activities that may violate these standards.


Each employee will be trained on the FHS Medicare Compliance Plan and the Standards of Conduct and asked to sign a Conflict of Interest Statement at hire and annually thereafter.

A copy of the Medicare Compliance Plan and the FHS Standards of Conduct are available on the FHS home page under the Compliance tab.



PATIENT CENTERED MEDICAL HOME (PCMH):


Family Health Services is committed to providing our patients with the highest standards of care by becoming recognized as patient centered medical home.

FHS staff is expected to participate in this process by being an active and willing PCMH team member. Specific duties and expectations may vary and will be identified by position and site.

PROCEDURE COMPLIANCE:


Employee must read and understand the general and specific operational, safety, and environmental requirements of all plans, procedures, and policies pertaining to this job.


WORKING CONDITIONS:

Work is normally performed in a typical interior/office work environment. No or very limited physical effort required. No or very limited exposure to physical risk.

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