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Medical Billing Specialist
4 days ago
POSITION SUMMARY:
The Medical Billing Specialist under the supervision of the Accounting Manager (AM) will process billing and payment in Account Receivables. They will maintain a schedule, ensuring payments are received in a timely manner and provide support to the Accounting Manager for month end and audit preparation.
Primary Responsibilities:
- Ensure successful entry of all medical visits into the practice management, EMR Medical Billing System and additional systems as applicable
- Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, facility, medical service and coding are billed.
- Assist the AM to collect accounts receivable, including the following revenue sources: Medi-Caid, Medicare, PPO, HMO, Private Insurance and all other fee for service revenue.
- Assist the AM as directed to appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.
- Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.
- Submit claims to insurance companies on a daily basis as necessary.
- File all correspondence into patient's chart.
- Audit claims daily to ensure timely collections. Review EOBs as directed to ensure compliance with billing practices.
- Assist with maintenance and tracking of contracts for facility and participating provider agreements for accurate billing
- Follow billing policy guidelines and documented procedures.
- Serve as backup for Accounts Payable processing as needed
- Other duties as assigned.
Knowledge and Skills Requirements:
- Excellent communication and interpersonal skills
- Attention to detail and organizational skills.
- Ability to work harmoniously with a broad range of staff, volunteers, and the community as a representative of Navian Hawaii.
- Demonstrates good judgment in seeking and accepting guidance, facilitates clear and honest communication with other team members.
- Consistently demonstrates ethical conduct and judgment that is in harmony with the mission and values of Navian Hawaii
Experience and Educational Requirements:
- High School Diploma or GED equivalent required.
- Experience in healthcare billing and coding required
- Non-profit administration is ideal.
- Proficient in the use of MS Word, Excel, Outlook, and overall computer skills. GL software knowledge preferred.
- Is knowledgeable of and maintains HIPAA standards of privacy and confidentiality.
Employment Requirements:
All offers of employment at Navian Hawaii are contingent on a candidate's successful completion of certain requirements which include:
- A legally compliant background check
- Drug Screen & Physical Exam
- COVID Vaccination
Why Navian Hawaii?
- Consistent M-F schedule
- Team-oriented, locally run nonprofit where every voice is heard
- Competitive pay with an excellent benefits package
- A flexible organization that supports positive work/life balance
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