What are the responsibilities and job description for the Billing Specialist position at Mens Health Foundation?
Job Title:
Billing Specialist
Salary Range:
$21.00-$27.00
Worker Category:
Full-Time
FLSA Classification
Non-Exempt
Department & Location:
Finance 9220 Sunset Blvd
Organization Background
Men’s Health Foundation connects men at risk to comprehensive healthcare and wellness through education, collaboration and advocacy, inspiring and empowering all men to live longer, healthier and happier lives. We see a world where inequity and stigma do not separate men from healthcare. At Men’s Health Foundation we are reimagining men’s healthcare.
Job Description
Overview
Reporting to the Revenue Cycle Manager, the Billing Specialist will process charges as part of the billing function within the organization's established policies. Performs billing functions for the various service components of the Clinics, assists other claims processors as needed; serves as back up for the Billing Manager and runs various financial reports as needed by the CFO. Consistently utilizes and facilitates effective strategies to communicate pertinent information in a timely manner. The Medical Biller works in the team-based model of care.
Essential Functions and Responsibilities
- Codes such items as invoices, vouchers, expense reports, check requests, etc., with correct codes conforming to standard procedures to ensure proper entry into Allscripts.
- Uses critical thinking skills to interpret information furnished in written, oral, diagram, or schedule form and to follow complex dental processes
- Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly.
- Projects accurate future occurrences based on current or historic data.
- Strong math skills to add, subtract, multiply and divide as well as work with fractions and percentages accurately.
- Handles all patient requests via phone or email.
- Prepares non-inventory purchase order requisitions.
- Investigates and resolves problems associated with processing of charges.
- Prepares batch reconciliation reports.
- Assists with monthly status reports, and monthly closings.
- Reconciles various accounts by identifying errors in posting or omissions by applying appropriate billing standards.
SYSTEMS PROCESSES:
- Ensures efficiency, accuracy and accountability of information and data.
- Performs claims processing functions in a timely and accurate manner.
- Checks “superbills” for accuracy prior to entering into the system.
- Reviews and, as necessary, corrects data entry and billing errors prior to transmission.
- Bills payment source(s) within 48 hours of patient’s visit.
- Posts payment checks to appropriate accounts.
- Researches payment denials and re-submit for payment as necessary.
- Checks count of “superbills” against daily log to ensure that every patient’s visit related paperwork has been received, posted and billed
- Prepares month end reports.
- Looks up CPT and ICD-10 codes for accurate coding.
- Performs weekly transmission of claims.
- Updates daily error reports for clinic/nurse managers.
Qualifications
- Associate degree (A. A.) or equivalent from two-year college or technical school;
- Two to three years related experience and/or training; or equivalent combination of education and experience.
- Proficient in MS Word and Excel Software and tech savvy.
Company Requirements
- Must be able to pass a pre-employment drug test, physical, and a background check to include a 7-year criminal, 10-year SSN & employer history reference check.
- Must be able to provide proof of COVID-19 vaccination on the first day of work.
- Excellent interpersonal skills.
- Attention to detail.
- Must be able to work flexible schedules.
- Must take yearly flu shot or wear flu mask during flu season for patient-facing positions and test for tuberculosis as required by the Centers for Disease Control and Prevention.
Language Skills
Must be able to read, write and speak the English language fluently. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Must have the ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public in person.
Mathematical Skills
Ability to calculate figures and amounts such as dollar totals, monetary conversions, discounts, interest, fractions, decimals, percentages, area, and volume.
Reasoning Ability
Ability to solve technical and practical problems and deal with various intangibles in situations where only limited communication, support, information, and access exist. Ability to interpret various instructions furnished in written, oral, diagram, or schedule form.
Computer Skills:
Must have good computer skills and be proficient in the use of systems to complete correspondence, documents, spreadsheets and presentations, such as Microsoft Outlook and Office; Word, Excel and PowerPoint, and Adobe Acrobat.
Physical Demands:
The physical demands described here represent those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee is mostly required to sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is constantly required to stand and walk. The employee may be required to climb ladders or stairs, be in high spaces, and/or balance, stop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is in an office environment, workstation, or shared space. The noise level in the work environment is occasionally moderate with occasional high volume.
Salary : $21 - $27
