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3 months ago
The Medical Billing Specialist reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. This is a hybrid position located in Junction City, KS.
ESSENTIAL JOB FUNCTIONS:
- Responsible for all phases of billing including policies and procedures for specific financial class assignments.
- Prepare, input, and finalize claims for reimbursement including tracers, resubmissions, and retroactive billing.
- Prepare, post receipts RA’s/EOBs received including the reconciliation of claims suspended/denied.
- Bill unpaid balances to patient or secondary payor, if applicable.
- Adjust patient accounts as necessary.
- Establish payment plans to help patients manage payment of bills.
- Create and mail insurance claims and patient statements.
- Rebill insurance companies or other third parties to secure payment for patients.
- Train appropriate personnel on computerized billing system.
- Respond to patient billing and statement inquiries.
- Make recommendations to management for write-offs.
- Work cooperatively with all staff members and outside sources in a professional manner to deliver a high level of service.
- Follow HIPPA regulations
- Perform other related duties, which may be inclusive, but not listed in the job description.
- Other duties as assigned by supervisor
The preceding list of essential functions and major responsibilities is not exhaustive and may be supplemented.
Requirements:- Associate degree or equivalent from two-year community college or technical school preferred.
- Experience in specific job function may be substituted for education.
- Minimum of 2-3 years’ experience in coding required.
- Certified coder, preferred.
- Minimum of 1-3 years in medical billing required.
- Knowledge of EHR systems required – eCW experience preferred.
- FQHC Experience, preferred.
Join our team at Konza Prairie Community Health Center and experience a workplace that truly values your well-being. We take pride in offering a comprehensive range of employee benefits designed to support your health, financial security, and work-life balance. Here's what you can expect:
- Medical, Dental, and Vision Coverage: Take advantage of our robust health plans to ensure you and your family's well-being.
- Paid Time Off (PTO): Generous PTO accrual of up to 7.71 hours per pay period for a healthy work-life balance.
- 403(b) Retirement Plan with Employer Match: Secure your financial future with our retirement savings plan, complemented by employer contributions.
- Employee Discounts: Insured employees and their immediate family members can enjoy exclusive discounts when utilizing Konza's in-house medical, dental, and pharmacy services.
- Early Friday Closure: Konza clinics close at 2 pm every Friday, allowing you to kick off your weekend early.
At Konza, we are committed to fostering a workplace that celebrates diversity and inclusivity. We believe in the power of different perspectives, backgrounds, and experiences to drive innovation and success. We are an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
