Billing Specialist

Health Ministries Clinic•Newton, KS

About The Position

Health Ministries Clinic (HMC) is seeking 2 detail-oriented and dependable Billing Specialists (Commercial and Medicare) to join our integrated care team in Newton, Kansas. This is a full-time position offering the opportunity to support patient care in a collaborative, mission-driven environment. As a vital member of the billing team at a Federally Qualified Health Center (FQHC), you play a critical role in the financial health of the organization and supporting access to care for our patients. We value the unique expertise each team member brings and are committed to supporting ongoing learning and professional development within the organization.

Requirements

High school diploma or equivalent
2+ years' experience in medical billing in a healthcare office setting preferred
Strong knowledge of Commercial insurances and TPA's required.
Expert level knowledge of Medicare, Supplements and Replacements required.
Strong knowledge of Commercial insurance and TPA's required.
Organized, self-motivated with strong attention to detail
Excellent communication and customer service abilities.
Demonstrate a team-player attitude by working cooperatively with coworkers and other departments, as well as serving as backup as needed.

Nice To Haves

Coding Certification preferred, not required.
EClinicalWorks experience preferred, not required.

Responsibilities

Review charges for correct coding prior to claim submission, ensuring compliance with all federal and state regulations.
Prepare and submit clean claims timely to insurance companies, electronically, via paper and through insurance portals.
Resolve clearinghouse and payer rejections.
Work assigned AR and maintain within the company's KPI's and productivity standards.
Follow-up on all outstanding claims timely and secure payment - unpaid, short-paid, credits and denials.
Perform reconsiderations, appeals, corrected claims or resubmissions as appropriate to resolve claims. Call insurance companies and complete claims activities on insurance portals to assist in resolving claims.
Receive insurance correspondence (such as letters and remits) and handle timely.
Appropriately notate all billing and collection efforts in the practice management system.
Accurately re-verify insurance and update insurance on patient accounts.
Receive and return patients' billing-related phone calls and e-mails promptly, utilizing appropriate etiquette, respect and confidentiality. Receive and process credit/debit payments and set-up payment plans.
Participate in quality improvement efforts related to revenue cycle