Billing Specialist

5 days ago

Hilo, Hawaii, United States Hawai'i Island Community Health Center Full time
Job Summary

We are seeking a highly skilled and detail-oriented Billing Specialist to join our team at Hawai'i Island Community Health Center. The successful candidate will be responsible for ensuring the timely and accurate completion of all billing functions, including maintaining accurate patient accounts, recording charges and payments, and submitting reimbursement requests to payers.

Key Responsibilities
  • Ensure the timely input of patient billing data into the computer system with minimal errors.
  • Maintain patient account information and update as necessary, including new service and billing information, payments received, and patient demographic information.
  • Ensure proper billing of patient charges to various payers.
  • Prepare monthly and weekly reports as requested.
  • Prepare outgoing patient billing statements according to the pre-established schedule.
  • Maintain a record of all collections.
  • Monitor accounts receivable and reprocess claims as necessary to maximize revenue.
  • Counsel patients in setting up payment plans to recover outstanding balances.
  • Request refunds to patients when there are overpayments.
  • Recommend policies and procedures to improve the performance of the billing department and maximize revenue collection.
  • Update CPT and ICD-10 codes at least yearly as directed.
  • Monitor HICHC fee schedules and recommend updates as needed.
  • Maintain insurance information on all providers and update as necessary.
  • Provide backup to the eligibility/verification position as needed.
  • Provide feedback to clinic operations staff and medical providers to ensure accurate coding of encounters.
  • Communicate and work closely with front office staff.
Requirements
  • High School graduate or GED certificate and two years related experience and/or training in medical billing is required; OR any equivalent combination of experience, training and/or education.
  • Basic knowledge of general office procedures, including filing, copying, and faxing.
  • Ability to use a computer to enter patient data and retrieve information in a patient billing system.
  • Knowledge of collections procedures, CPT and ICD-10 codes.
  • Detail-oriented with demonstrated organizational skills in creating and maintaining file systems.
  • Experience with basic bookkeeping.
  • Ability to work on multiple tasks within established deadlines.
  • Ability to work under the direction of a supervisor and follow instructions.
Language Skills
  • Ability to read and interpret documents such as government regulations and guidelines, payer contracts, patient records, operating and maintenance instructions, procedure manuals, etc.
  • Ability to write at a level of competence, including internal reports and memoranda.
  • Ability to communicate with diverse groups of people, including staff and providers, and patients.
  • Ability to communicate effectively with patients and their families to make their visit a pleasant experience.
  • Sensitivity to the multicultural nature of the service area population and may be required to communicate in another language.
Personal Characteristics
  • Team player with high integrity.
  • Multitasker with excellent communication and customer relations skills.

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