Medical Billing Specialist

4 days ago


Honolulu, United States Navian Hawaii Full time
Job DescriptionJob Description

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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