Billing Specialist

Health Ministries Clinic•Newton, KS

9d•Onsite

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 critica l role in the financial health of the organization and supporting access to care for our patients . We value the unique expertise each team mem ber 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 .
Expert level knowledge of Medicare , Supplements and Replacements required .
Strong knowledge of Commercial insurance and TPA's .
Organized, self-motivated with s trong 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 .
EClinicalWorks experience preferred, not .

Responsibilities

Review charges for correct coding prior to cl aim submission , ensuring compliance with all federal and state regulations .
Prepare and submit cl ean clai ms time ly to insurance companies, electronically , via paper and through in sur ance portals .
Resolve clearinghouse and payer rejections.
Work assigned AR and maintain within the company's KPI's and productivity standards.
Follo w-up o n all outstanding claims timely and secure payment - unpaid, short-paid, credits and denia ls .
Perform reconsiderations, appeals, correc ted clai ms or resubmissions as appropr iat e to resolve claims .
C all insurance companies and complete claims activities on insurance portals to assist in resolving claims .
Receive insu rance correspondence (such as letters and remits) and handle timely .
Appropriately notate all billing and c ollection efforts in the practice management system .
Accurately r e-verify insurance and update insurance on patient accounts .
Receive and return patients' bi l li ng-r ela ted phone c alls and e-mails promptly, utilizing a ppropriate etiqu ette, respect and confidentiality .
Re ceive and process credit/debit payments and set-up payment plans.
Participate in quality improvement efforts related to revenue cycle