What are the responsibilities and job description for the Billing Specialist position at LOWER LIGHTS CHRISTIAN HEALTH CENTER INC?
Job Details
Description
ABOUT LLCHC
Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! In 2019 alone, we served over 12,000 patients - with 40% being uninsured - and totaled 50,000 medical encounters!
Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage.
SUMMARY:
This position requires an experienced Medicare/Medicaid Team Specialist who is responsible for day-to-day processing and analysis of Accounts Receivable from Medicaid, Medicare, Managed Care and Commercial. The successful candidate will be able to Post payments to the system from Explanation of Benefits from Medicare, Medicaid, Managed Care, Commercial, Dual Plan Options etc.
ESSENTIAL JOB RESPONSIBILITIES:
- One to two years current experience in Medicaid billing in a hospital, clinic, or physicians’ office setting preferred.
- Current knowledge of various insurance plans, i.e., HMO’s, PPO’s, Medicare, Medicaid, BWC
- Current working knowledge of CPT, HCPCS and ICD-10 coding
- Thorough knowledge of computerized billing
- Ability to navigate the MITS & FISS systems
- Rebill claims as necessary to Medicaid/Medicare and all other plans
- Ability to interact with CFO to facilitate and maintain billing cycle time frames
- Work all online denials within forty-eight (48) hours of receipt, taking any action necessary to secure account resolution
- Perform extensive account follow-up and provide analysis of problem accounts
BENEFITS AND PERKS
- Health benefits including medical, vision, dental, life, disability
- Generous Paid Time Off
- 10 Paid Holidays
- Student loan forgiveness opportunities
- Employee Assistance Program (EAP) with access to various consultants
- 3% match toward retirement fund
- And more!
LIVING OUR VALUES
You are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion.
Qualifications
- High school graduate or GED equivalent with a focus in a general business curriculum
- Minimum of one (1) year experience in a Accounts Receivable environment
- Knowledge and understanding of the following: Medicare, Managed Care, Primary and Commercial Insurances required and Medicaid Preferred
- Effective verbal and written English communication skills
- Highest level of professionalism with the ability to maintain confidentiality
- Ability to communicate at all levels of organization and work well within a team environment in support of company objectives
- Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity
- Ability to work with minimal supervision, take initiative and make independent decisions
- Ability to work deal with new tasks without the benefit of written procedures
- Approachable, flexible and adaptable to change
- Customer service oriented attitude/behavior
