Medical Billing Specialist

4 weeks ago

Richmond, United States Richmond Gastroenterology Associates Inc Full time
Job DescriptionJob Description

JOB TITLE: Medical Billing Specialist DEPARTMENT: Billing
FLSA STATUS: Non-Exempt
REPORTS TO: Revenue Cycle Manager
ABOUT THE COMPANY:
Richmond Gastroenterology Associates, Inc. (RGA) has been serving the greater Richmond community 
since the late 1970s.  We provide superior service at every encounter, every day. We are Passionate 
about Prevention.

COMPENSATION & BENEFITS:
RGA is an Equal Employment Opportunity employer.  We value our employees’ time and talent and offer 
a competitive compensation and benefits package for full-time employees, which includes medical, 
dental, vision, basic and optional life insurance, long-term disability, flexible spending 
accounts, health savings account, 401(k) profit sharing, paid holidays, paid time off, tuition 
reimbursement, a competitive salary, and an enjoyable work environment.

ABOUT THIS POSITION:
The Medical Billing Specialist enters charges into the practice management system to be reflected 
on claims for submission to payors.  Interacts with patients, referring physicians, and third-party 
carriers about patient account-related issues. Works with others in a positive team environment and 
is sensitive to the interrelationship of all people and functions within the company.

ESSENTIAL JOB DUTIES:
The Essential Job Functions are:
•     Enters charges into the practice management system accurately and by information reflected in 
clinical documentation including but not limited to CPT/modifiers, diagnoses, providers, units 
provided, and service location.
•     Works with payors to appeal denied claims or respond to missing claims.
•     Files appeals according to payor guidelines and with all pertinent documents and clinical 
documentation using payor websites and available technology.
•     Organizes and prioritizes work as directed and in a way that most benefits RGA.
•     Collects co-payments and payments on account from patients when they present to Business 
Office, or by phone.
•     Answers inbound phone calls to the Business Office and assists in an appropriate and timely 
manner to patients and/or internal customers regarding patient accounts.
•     Provides information to Medical Billing Supervisor or Revenue Cycle Manager regarding 
problems/issues encountered during claim submission or insurance follow-up.
•     Assists in resolving systemic claims/payment issues as needed.
Responsibilities related to Compliance and Work Habits:
•     Maintains applicable licensure and/or certifications.
•     Upholds patient confidentiality, HIPAA, and OSHA rules and regulations.
•     Maintains a safe work environment.
•     Timely completion of all compliance training and testing.
Responsibilities related to company mission, culture, and engagement:
•     Actively engage in RGA C.A.R.E.S. – Compassion, Accountability, Respect, Empowerment, and 
Service.
•     Actively participate in achieving the company’s Mission, which is to optimize the health of 
our patients and community by providing compassionate, state-of-the-art care to adults with
digestive and liver disease.

2
•     Adhere to the company’s Code of Conduct, to conduct business with honesty and integrity, and 
in an appropriate manner for services provided, while ensuring that its business arrangements 
comply with relevant state and federal statutes and regulations.
•     Consistently work on ways to engage our patients, improve their care experience, and maintain 
strong relationships with referring physician offices and other referral sources.  Share Patient 
Satisfaction Surveys with staff and physicians, as a tool to improve care delivery and the patient 
experience.
•     Create an environment of trust and healthy working relationships.
•     Exemplify a “can do” attitude and commitment to excellence.

QUALIFICATIONS & CERTIFICATIONS:
•     High school diploma or equivalent.
•     1-2 years of experience in a medical billing setting.
•     Knowledge of medical terminology and CPT and ICD10 coding.
•     CPC or CCS-P preferred.
•     Exceptional customer service and communication skills, verbal and written.
•     Excellent computer skills and experience with MS Office Word, Excel, and Outlook.
•     Ability to multi-task in a fast-paced environment.
•     Knowledge of gGastro is a plus.
•     Ability to multi-task in a fast-paced environment.

MENTAL AND PHYSICAL REQUIREMENTS:
•     Ability to work well under pressure with diverse groups of professionals and physicians.
•     Ability to multi-task in a fast-paced environment, which may include frequent interruptions.
•     Must demonstrate sensitivity to cultural differences within the team and community.
•     Work may involve prolonged periods of sitting, standing, reaching, and the ability to push or 
pull items weighing 30 pounds or less.
•     Required to operate a computer keyboard, mouse, and monitor.

 

Company DescriptionABOUT THE COMPANY:
Richmond Gastroenterology Associates, Inc. (RGA) has been serving the greater Richmond community since the late 1970s. We provide superior service at every encounter, every day. We are Passionate about Prevention.
MISSION AND CORE VALUES
At the heart of our mission lies a commitment to provide superior patient experience. We are a team driven by a passion for prevention and a dedication to optimizing the health of our patients and community. RGA specializes in compassionate, patient-centered care for adults with liver and digestive diseases, ensuring they receive the best possible treatment.
Our core values of compassion, accountability, respect, empowerment, and service guide our daily actions and decisions. We pledge to conduct our business with unwavering honesty and integrity, fostering a culture of trust and ethical practice.
We are devoted to consistently engaging our patients and maintaining strong relationships with our referring providers and our community, creating a collaborative environment that benefits all parties involved.
Above all, we commit to excellence. Our goal is not only to meet but to exceed expectations, ensuring that every patient feels heard, cared for, and valued. This is our promise to our patients and our community.Company DescriptionABOUT THE COMPANY:\r
Richmond Gastroenterology Associates, Inc. (RGA) has been serving the greater Richmond community since the late 1970s. We provide superior service at every encounter, every day. We are Passionate about Prevention.\r
MISSION AND CORE VALUES\r
At the heart of our mission lies a commitment to provide superior patient experience. We are a team driven by a passion for prevention and a dedication to optimizing the health of our patients and community. RGA specializes in compassionate, patient-centered care for adults with liver and digestive diseases, ensuring they receive the best possible treatment.\r
Our core values of compassion, accountability, respect, empowerment, and service guide our daily actions and decisions. We pledge to conduct our business with unwavering honesty and integrity, fostering a culture of trust and ethical practice.\r
We are devoted to consistently engaging our patients and maintaining strong relationships with our referring providers and our community, creating a collaborative environment that benefits all parties involved.\r
Above all, we commit to excellence. Our goal is not only to meet but to exceed expectations, ensuring that every patient feels heard, cared for, and valued. This is our promise to our patients and our community.

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