What are the responsibilities and job description for the Medical Billing Specialist position at Lake Superior Community Health Center?
Lake Superior Community Health Center is seeking a Full Time Medical Billing Specialist.
The Medical Billing Specialist is primarily responsible to process insurance claims and client statements. Submits insurance claims in timely manner as defined by organizational policy. Runs monthly client statements and prepares for mailing. Receives and works remittance advices to ensure reimbursement. Receives and posts client payments. Contacts clients with overdue payments. Reviews and verifies all third party payer information by making contact with payers or verify information through on-line verification tools regarding coverage and benefits.
Job Qualifications:
- High school graduate or GED
- Experience in healthcare business operations.
- Experience with billing and/or processing payor information, and insurance verification.
Job Knowledge, Skills and Abilities:
- Demonstrated basic computer knowledge
- High level of customer services skills, tact and diplomacy
- Knowledge of healthcare and Medical billing practices
- Ability to communicate clearly orally and in writing
- Strong ability to organize and prioritize work
- Demonstrates ability to consistently achieve a high level of accuracy and attention to detail
- Ability to work under stressful conditions
Licensure and Credentials:
- NA
Functions and Responsibilities
1.0 Review insurance claim for accuracy and corrects incorrect/missing data prior to claim submission
2.0 Create and submit electronic and paper insurance claims using computerized practice management system, ensuring that claims are submitted accurately and within timely filing requirements specific to each insurer.
3.0 Review rejected claims and resubmit with corrections as needed.
4.0 Assist the medical support staff in obtaining insurance pre-authorization when required in advance of performing the service.
5.0 Receives and works remittance advices to ensure reimbursement
6.0 Monthly prints and mails client billing statement
7.0 Post payments into accounts receivable upon receipt
8.0 Updates client demographic and insurance information in computer
9.0 Answers billing questions and/or refers calls to appropriate staff
10.0 Takes appropriate steps to resolve billing disputes
11.0 Verifies all third party payer information
12.0 Assure that established policies, procedures, objectives, HIPPA, Compliance Plan
and state and federal rules and laws are understood and followed.
13.0 Attend Compliance Committee . QI, and Staff meetings.
14.0 Perform other related duties as assigned.
Job Type: Full-time
Pay: From $16.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Work Location: Hybrid remote in Superior, WI 54880
Salary : $16
