Medical Billing Specialist

4 weeks ago

Davenport, United States Palmer College of Chiropractic Full time

Job Details

Job Location: 10 - Davenport Campus - Davenport, IA

Position Type: Full Time

Education Level: 2 Year Degree

Salary Range: Undisclosed

Travel Percentage: None

Job Shift: Daytime

Job Category: Customer Service

Description

This is a key position within the Revenue Cycle Department. This role primarily follows the claim process from origin to completion ensuring proper coding procedures. He/She will be responsible for accounts receivable goals, by ensuring timely communication follow-up and correspondence with clinicians, insurance companies, and patients. He/She will be responsible for monitoring, pursuing, and collecting on past-due accounts, ensuring that payments from all sources are recorded and reconciled timely to maximize revenues.

EDUCATION AND EXPERIENCE

Associate Degree, Billing Certification or at least two years related experience and/or training required. Preferred experience specific to Chiropractic billing and coding. Experience in healthcare billing field to include, knowledge and proficiency with coding, health care accounting/revenue cycle procedures, or equivalent combination of education and experience.

ORGANIZATIONAL RELATIONSHIP

Responsible to the assigned administrator and has a support responsibility to all other departments and college personnel, as necessary.

SPECIFIC DUTIES AND RESPONSIBILITIES

* Perform daily startup activities, including opening the department, preparing machines and equipment for daily use, and other related duties.
* Reviews and verifies claims for completeness and accuracy to ensure first pass clean claim submittal to third-party payers.
* Accurately post all insurance payments, adjustments, and denials by line item according to clinic policies.
* Ability to maintain billing claim queues for accurate and timely follow up as assigned.
* Timely follow up on denial management.
* Reading and interpreting insurance explanation of benefits.
* Review patient and/or payer accounts receivables and perform the appropriate follow up to resolve outstanding balances.
* Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
* Responsible for re-billing and re-classifying patient accounts to the correct payer.
* Review accounts and makes recommendations to the department administrator regarding non-collectible accounts.
* Assist patients and clinicians with pre-authorizations for healthcare procedures.
* Make necessary arrangements for records requests, completion of additional information requests, etc. as requested by insurance companies.
* Respond to inquiries from insurance companies, patients, and providers.
* Collects delinquent accounts by establishing payment arrangements through the patient advocate with patients; monitoring payments; following up with patients when payment lapses occur.
* Serves as a resource to staff for billing issues.
* Protects Clinic's value by keeping collection information confidential.
* Updates job knowledge by participating in educational opportunities.
* Research payer rules and regulations to keep knowledge current and bring back to the department.
* Verification and communication of patient benefits.
* Assist students, faculty, alumni, and visitors.
* Serves and protects the Palmer College of Chiropractic community by adhering to professional standards, College/Clinic policies and procedures, federal, state, and local requirements.
* Excellent customer service skills with in-person, electronic or telephone communications.
* Regularly meet with assigned administrator to discuss and resolve reimbursement issues or billing obstacles.
* Regularly attend staff meetings and continuing educational sessions as requested.
* Perform additional duties as requested by administration or supervisor.
* Performs all responsibilities in a manner that fully complies with Palmer College Policies.
* Adhere to all federal and state compliance for data management, reporting and ensures compliance with regulatory agencies.

Qualifications

KNOWLEDGE, SKILLS, AND ABILITIES

* Knowledgeable in all aspects of clinic business and function; preferably within a healthcare or educational setting.
* Knowledge of healthcare revenue cycle including medical billing, coding, and collection practices.
* Experience in CPT, HCPCS and ICD10 coding; familiarity with medical terminology.
* Chiropractic coding and terminology preferred.
* Ability to work both independently and as part of a team.
* Strong analytical skills required.
* Ability to make independent and timely decisions.
* Ability to multitask and work courteously and respectfully with fellow employees, clients, and patients.
* Ability to perform assigned duties with time pressures and frequent interruptions.
* Ability to utilize general office equipment and other necessary equipment.
* Ability to utilize personal computer and various software packages.
* Ability to analyze and resolve difficult problems.
* Ability to communicate effectively.
* Ability to work various hours as job requires.
* Excellent customer service skills.

PHYSICAL REQUIREMENTS AND WORK ENVIRONMENT

Performs sedentary to light work in a ventilated, lighted, and temperature-controlled office setting.

Frequent need to stand, stoop, walk, sit, lift light objects (up to 10 pounds) and perform other similar actions during the workday.

  • Consumer Access Specialist

    2 hours ago

    Davenport, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: · Paid Days Off from Day One · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that...

  • Consumer Access Specialist

    1 month ago

    Davenport, Iowa, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: · Paid Days Off from Day One · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that...

  • Consumer Access Specialist

    4 weeks ago

    Davenport, Iowa, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: · Paid Days Off from Day One · Student Loan Repayment Program · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that...

  • Quotations Specialist

    1 week ago

    Davenport, United States Graybar Full time

    Make a difference. As a Quotations Specialist, you will handle the quotations process from the time you receive the request to the time you submit the quote to the customer. You will communicate with Graybar sales representatives, customer service representatives, customers and manufacturer representatives to gather needed details to create your quotes. You...

  • 25U Signal Support Systems Specialist

    1 month ago

    Davenport, United States Army National Guard Full time

    Job Description Communication is the pulse of Army National Guard units, and it's up to the Signal Support Systems Specialist to ensure the information keeps flowing so the military doesn't miss a beat. Signal Support Systems Specialists are responsible for integrating signal systems and networks; performing signal support functions and unit-level...

  • Office Administrator/AR Specialist

    3 weeks ago

    Davenport, United States Twin State Technical Services Full time

    Office Administrator/AR Specialist Ready to advance your career with a growing business? Twin State Technical Services is a group of enthusiastic, family-oriented, fast-paced tech experts. We've been serving our clients in a variety of industries for more than 25 years. We provide our employees an atmosphere to thrive by offering stability, paid...

  • Consumer Access Specialist PRN

    3 weeks ago

    Davenport, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in...

  • Medical Physicist

    1 week ago

    Davenport, Iowa, United States Trinity Health Full time

    Medical Physicist Through patient and family centered care, Genesis Cancer Care Institute provides team-based collaborative care and treatment, close to home. If you are looking to join a nationally accredited cancer care program as a board certified/board eligible medical physicist and have the passion to provide quality care, then you should consider a...

  • Parts Specialist

    7 days ago

    Davenport, United States Rexco Equipment, Inc Full time

    Job DescriptionJob DescriptionAre you passionate about machinery and love helping customers find the perfect parts for their equipment? Do you thrive in a fast-paced environment where no two days are the same? As a Parts Specialist at Rexco Equipment, Inc in Davenport, you'll have the opportunity to work onsite, assisting customers with their machinery...

  • Plasma Center Emergency Medical Technician

    4 weeks ago

    Davenport, United States Biolife Plasma Services Full time

    **NURSING IS HARD WORK. BUT IT DOESN’T HAVE TO BE**. At BioLife, nursing can be a challenging, yet fulfilling career. Nursing careers at BioLife are different from many other nursing careers. Here, our Plasma Center Nurses screen and advise donors to ensure they are in good health to donate plasma. In turn, that plasma is used to create lifesaving and...

  • Prior Authorization Specialist

    4 weeks ago

    Davenport, United States Orthopaedic Specialists PC Full time

    Job DescriptionJob DescriptionJOB SUMMARY: Primary responsibility: To obtain prior authorization for all medical procedures, surgeries, or DME. To inform and obtain pre-payments, if necessary. To inform patients of the expectation of payment from their insurance company and their co-insurance.EDUCATIONAL REQUIREMENTS:Associate’s Degree and / or previous...

  • Patient Access/Admitting Specialist PRN

    4 weeks ago

    Davenport, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: ·Career Development ·Whole Person Wellbeing Resources ·Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in...

  • Patient Access/Admitting Specialist PRN

    4 weeks ago

    Davenport, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: ·Career Development ·Whole Person Wellbeing Resources ·Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in...

  • Consumer Access Specialist PRN

    1 month ago

    Davenport, United States AdventHealth Full time

    All the benefits and perks you need for you and your family: · Career Development · Whole Person Wellbeing Resources · Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in...

  • Specialist, Risk Management

    1 week ago

    Davenport, Iowa, United States Genesis Health System Full time

    POSITION DESCRIPTIONTitle: Specialist of Risk ManagementDepartment: Risk ManagementPOSITION PURPOSE The aim of the Specialist of Risk Management role is to assist in overseeing systems that identify and mitigate risks, prevent harm to customers, and safeguard ministry assets. The specialist will be involved in various activities such as insurance coverage,...

  • Centralized Intake Specialist

    4 weeks ago

    Davenport, United States ASPIRE Full time

    Centralized Intake Specialist Beacon Health Management operates 10 skilled nursing facilities in Iowa. We are seeking a Centralized Intake Specialist to join our organization. Under the supervision of the Vice President of Business Development, duties and responsibilities of the Centralized Intake Specialist will include: • Responsible for reviewing and...

  • Centralized Intake Specialist

    4 weeks ago

    Davenport, United States ASPIRE Full time

    Centralized Intake Specialist Beacon Health Management operates 10 skilled nursing facilities in Iowa. We are seeking a Centralized Intake Specialist to join our organization. Under the supervision of the Vice President of Business Development, duties and responsibilities of the Centralized Intake Specialist will include: • Responsible for reviewing and...

  • Centralized Intake Specialist

    3 weeks ago

    Davenport, United States ASPIRE Full time

    Centralized Intake Specialist Beacon Health Management operates 10 skilled nursing facilities in Iowa. We are seeking a Centralized Intake Specialist to join our organization. Under the supervision of the Vice President of Business Development, duties and responsibilities of the Centralized Intake Specialist will include: •Responsible for reviewing and...

  • 92Y Unit Supply Specialist

    4 weeks ago

    Davenport, United States Army National Guard Full time

    Job Description As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any mission. In this role, your keen eye and management ability will keep warehouse functions running smoothly. You will oversee the shipping, storage, and supply of Army National Guard equipment....

  • Accounts Payable Specialist

    23 hours ago

    Davenport, United States Estes Construction Full time

    Job DescriptionJob DescriptionSalary: Top 25 PercentileAre you seeking a company dedicated to on-the-job training and development?  Do you want an engaged company culture where YOU are valued?  If you want to grow with a company and reach your full potential, we want to talk to YOU!  Estes Construction is seeking a highly motivated person who is...