Medical Billing Specialist

1 week ago

Prairie du Sac, United States Sauk Prairie Healthcare Full time

**Title**:Medical Billing Specialist

**FTE**:1.0

**Schedule**:Monday to Friday, 8:00am to 4:30pm

**Hybrid**:Hybrid position; onsite for training period; after training period remote with one day per week onsite.

**Holiday Rotation**:None

**Weekend Rotation**:None

**On Call Requirements:
***

Responsible for duties such as claims submission, insurance follow up, posting insurance payments, reconciling, and balancing accounts, as well as preparing bank deposits. This position has direct contact with patients and insurance companies to resolve coverage and/or denial issues. They are responsible for researching and analyzing payments to ensure accuracy and following up with the insurance company regarding any discrepancies.

**POSITION TECHNICAL RESPONSIBILITIES**

CLAIMS SUBMISSION
- Download electronic primary and secondary claims to electronic claims vendor.
- Submit claims for reimbursement to insurance carriers.
- Submit paper secondary claims.

INSURANCE FOLLOW UP/RESOLUTION
- Follow up on unpaid claims and initiate insurance tracking report or worklist.
- Correspond with insurance carriers clearly explaining claim problems for any claims which are not processed correctly.
- Reconciles and resubmits denied claims to ensure proper reimbursement.
- Audit problem patient accounts.
- Have direct communication with patients regarding their accounts.
- Follow up on all assigned accounts from within the billing systems.
- Research and analyze accounts and payments; reverses balances to credit or debit if charges were improperly billed or if payments were incorrect.
- Ensure that all conditions for payment receipt have been satisfied, which includes, but is not limited to accurate charges and financial class, authorization/certification/information, claims address, ICD-9 and CPT-4 coding, patient insurance eligibility, patient benefit coverage and patient responsibility.
- Respond to all incoming correspondence and inquires from payers, patients, and other appropriate parties.
- Initiate contact with patients as necessary.
- Initiate recommendation and action plans for resolving accounts.
- Evaluate accounts to determine any write-offs or corrections required, including duplicate charges.
- Prepare refund requests for any monies due patient or insurance company.
- Write appropriate notes in system for every account, including any action taken.
- Handle in a professional and confidential manner all correspondence, documentation and files.
- Review various reports to identify denials and edits; corrects claims, suggest actions plans to eliminate theses denials/edits in the future, and determines appropriateness for appeals.

POSTING/BALANCING
- Edit, check and prepare payment receipts.
- Enter payments on patient accounts in computer billing system.
- Run, review and balance computerized receipt summary and make the daily bank deposit.
- Post cash drawer money from clinics and balances cash drawers.
- Prepare write-off requests for denied claims with cannot be appealed.

OTHER
- Understand and follow regulations regarding insurance billing.
- Elevate issues, as appropriate, to the supervisor
- Meet production standards such as Business Office quality and quantity guidelines.
- Support SPH core values, policies, and procedures.
- Establish payment arrangements according to guidelines as requested by patients.

Prepare correspondence to patient/guarantor.

**Education**:

- Required: High School Degree or equivalent
- Preferred: Technical diploma in Medical Billing

**Experience**:

- Required: None
- Preferred: 1-3 years in a similar position

**Licenses and Registrations**:

- Required: None
- Preferred: None

**Certification(s)**:

- Required: None Preferred: Completion of Certified Patient Accounts Technician (CPAT) program

**BENEFIT SUMMARY**
- Competitive health and dental insurance options
- Flexible paid time off to balance work and life
- Retirement plan with immediate vesting and employer match
- Free membership to our state-of-the-art fitness facility
- Generous tuition reimbursement
- Employer provided life and disability insurance

Free parking at facility

IND101

  • Medical Billing Specialist

    1 week ago

    Sun Prairie, United States LSM Chiropractic Full time

    **About us** We at LSM Chiropractic are fueled by the energy of our team. We promote a culture where team members take initiative in job performance, problem solving and in setting and achieving goals. While we insist on respect for patients and fellow team members, we also encourage an environment full of camaraderie and laughter. We strive to inspire our...

  • Billing Specialist

    1 week ago

    Fond du Lac, United States J. F. Ahern Co. Full time

    Looking to join one of the best mechanical and fire protection contractors in the United States? Join our team! Ahern has an exciting opportunity for a Billing Specialist located in Fond du Lac, WI. We consistently rank as one of the top specialty contractors in Wisconsin, are in the top 15% of specialty contractors across the US, and have received several...

  • Billing Specialist

    4 weeks ago

    Fond du Lac, United States J. F. Ahern Full time

    Looking to join one of the best mechanical and fire protection contractors in the United States? Join our team! Ahern has an exciting opportunity for a Billing Specialist located in Fond du Lac, WI. We consistently rank as one of the top specialty contractors in Wisconsin, are in the top 15% of specialty contractors across the US, and have received several...

  • Medical Assistant

    4 weeks ago

    Prairie Du Sac, United States beBee S US Full time

    ABOUTMedical emergencies happen and we need people who can take charge when they do. Whether you’re in a hospital or clinical setting, on a ship or submarine, or out in the field alongside fellow Sailors or Marines, you will use advanced medical training to save lives. The bravest fighters in the world put their lives in your hands. And it’s your job to...

  • Medical Assistant

    4 weeks ago

    Prairie Du Sac, United States beBee S US Full time

    ABOUTMedical emergencies happen and we need people who can take charge when they do. Whether you’re in a hospital or clinical setting, on a ship or submarine, or out in the field alongside fellow Sailors or Marines, you will use advanced medical training to save lives. The bravest fighters in the world put their lives in your hands. And it’s your job to...

  • Patient Support Specialist

    4 weeks ago

    Prairie du Sac, United States Sauk Prairie Healthcare Full time

    **POSITION SPECIFICS** **Title**:Patient Support Specialist **FTE**:.8 FTE (32 hours per week) **Schedule**:Monday, Wednesday, Thursday, Friday with hours between 8:00am and 5:00pm. **Holiday Rotation**:None **Weekend Rotation**:None **On Call Requirements**:None *** This position performs a variety of daily duties, usually involving multi-tasking,...

  • Patient Scheduling Specialist, Sauk Prairie

    2 weeks ago

    Prairie du Sac, United States UW Health Full time

    **Work Schedule**: 100% FTE, 40 hours per week. Shifts scheduled Monday through Friday between the hours of 8:00 AM - 4:30 PM. Hours may vary based on the operational needs of the department. **Pay**: Pay starts at $19.32 per hour, work experience that is relevant to the position will be taken into consideration when determining the starting base pay. **Be...

  • Guthrie Billing Specialist

    4 weeks ago

    Eden Prairie, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Guthrie Billing Specialist for a contract with our client in Eden Prairie, MN. 100% Remote.Job Description:Revenue Cycle staff augmentation. Client is in need of resources to augment their primary billing and follow-up with teams, but there may also be a need for front and middle revenue cycle expertise (ability to work accounts in...

  • Guthrie Billing Specialist

    4 weeks ago

    Eden Prairie, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Guthrie Billing Specialist for a contract with our client in Eden Prairie, MN. 100% Remote.Job Description:Revenue Cycle staff augmentation. Client is in need of resources to augment their primary billing and follow-up with teams, but there may also be a need for front and middle revenue cycle expertise (ability to work accounts in...

  • Patient Scheduling Specialist, Sauk Prairie Specialty Clinic

    4 weeks ago

    Prairie du Sac, United States UW Health Partners Full time

    Work Schedule: 100% FTE, 40 hours per week. Shifts scheduled Monday through Friday between the hours of 8:00 AM - 4:30 PM. Hours may vary based on the operational needs of the department. Pay: Pay starts at $19.32 per hour, work experience that is relevant to the position will be taken into consideration when determining the starting base pay. Be part of...

  • Patient Scheduling Specialist, Sauk Prairie Specialty Clinic

    3 weeks ago

    Prairie du Sac, United States UW Health Full time

    Job Description Work Schedule: 100% FTE, 40 hours per week. Shifts scheduled Monday through Friday between the hours of 8:00 AM - 4:30 PM. Hours may vary based on the operational needs of the department. Pay: Pay starts at $19.32 per hour, work experience that is relevant to the position will be taken into consideration when determining the starting base...

  • Patient Scheduling Specialist, Sauk Prairie Specialty Clinic

    4 weeks ago

    Prairie du Sac, United States UW Health Full time

    Job DescriptionWork Schedule: 100% FTE, 40 hours per week. Shifts scheduled Monday through Friday between the hours of 8:00 AM - 4:30 PM. Hours may vary based on the operational needs of the department. Pay: Pay starts at $19.32 per hour, work experience that is relevant to the position will be taken into consideration when determining the starting base...

  • Revenue Cycle/Billing Specialist

    4 weeks ago

    Eden Prairie, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Revenue Cycle/Billing Specialist for a 3+ month contract with our Fortune 500 client. 100% Remote.Job Description:Our client is seeking experienced Revenue Cycle professionals to augment their primary billing and follow-up teams. This is an opportunity to provide front, middle, and back-end revenue cycle expertise by working directly...

  • Revenue Cycle/Billing Specialist

    2 weeks ago

    Eden Prairie, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Revenue Cycle/Billing Specialist for a 3+ month contract with our Fortune 500 client. 100% Remote.Job Description:Our client is seeking experienced Revenue Cycle professionals to augment their primary billing and follow-up teams. This is an opportunity to provide front, middle, and back-end revenue cycle expertise by working directly...

  • Revenue Cycle/Billing Specialist

    4 weeks ago

    Eden Prairie, Minnesota, United States Genesis10 Full time

    Genesis10 is seeking a Revenue Cycle/Billing Specialist for a 3+ month contract with our Fortune 500 client. 100% Remote.Job Description:Our client is seeking experienced Revenue Cycle professionals to augment their primary billing and follow-up teams. This is an opportunity to provide front, middle, and back-end revenue cycle expertise by working directly...

  • Business Office Manager

    2 weeks ago

    Prairie du Sac, Wisconsin, United States The Village at Mission Rehabilitation & Health Care Center Full time

    Business Office Manager The Village at Mission – Prairie Village, KS If you want to work for a company that truly values and appreciates its employees, join our team We are seeking a Business Office Manager to join our team. If you are a dedicated, energetic, and compassionate Business Office Manager, WE WANT YOU Apply today and let us show you how we are...

  • Pharmacy Technician

    3 weeks ago

    Prairie du Sac, United States Sauk Prairie Healthcare Full time

    **POSITION SPECIFICS** **Title**:Pharmacy Technician **FTE**:Part time (.5 FTE), 20 hours per week **Schedule**:Monday through Friday, 2:00 PM - 6:00 PM **Holiday Rotation**:None **Weekend Rotation**:Every 6th - 8th weekend **On Call Requirements**:None *** Working under the direction of the Pharmacists and Pharmacy Director, assist with the...

  • Pharmacy Technician/Billing Associate

    1 month ago

    Eden Prairie, United States Medix Full time

    Title: Pharmacy Technician/Billing Specialist Location: Eden Prairie, MN (55344) Position Type: Full Time, 40 hours per week (schedule varies per week) Are you a certified Pharmacy Technician with a knack for problem-solving and exceptional customer service skills? We're looking for a talented individual to join our team as a Pharmacy Technician/Billing...

  • Pharmacy Technician/Billing Associate

    4 weeks ago

    Eden Prairie, United States Medix Full time

    Title: Pharmacy Technician/Billing Specialist Location: Eden Prairie, MN (55344) Position Type: Full Time, 40 hours per week (schedule varies per week) Are you a certified Pharmacy Technician with a knack for problem-solving and exceptional customer service skills? We're looking for a talented individual to join our team as a Pharmacy Technician/Billing...

  • Occupational Therapist

    2 weeks ago

    Prairie du Sac, United States Sauk Prairie Healthcare Full time

    DescriptionPOSITION SPECIFICSTitle: OccupationalTherapist FTE: 0.9FTE (36 hours per week) Schedule: Flexible hours - Weekdays Holiday Rotation: N/A Weekend Rotation: 4 per year On Call Requirements: N/A POSITION SUMMARY Provide evaluation, establish an occupational therapy plan of care, and provide direct patient care to improve strength, coordination,...