Billing Specialist (00079)

Axis Health System•Durango, CO

48d•$21 - $27•Onsite

About The Position

Billing Specialist – Full Time – In-person role Montrose, Delta, or Durango, CO Position Summary: The role of the Billing Specialist is to work diligently monitoring all patient account receivables for assigned payors. Responds to and processes claim inquiries, denials, and payment codes in a timely manner. Billing work includes claim scrubbing, claim maintenance, cash posting, patient collections, and placement in bad debt. Claims can be Behavioral Health, Medical or Dental. O ur ideal candidate for our Billing Specialist position will have a high school diploma, or equivalent, an AA/AS in Healthcare/Accounting/Business, is preferred. The candidate will also have 2+ years’ experience working in a healthcare billing setting. Experience in payer portal use, clearing house edits and claim follow up strongly preferred. Certification for AAPC, MGMA, AAHAM, HFMA and AHIMA are preferred. Salary: Starting at $21.25 - $27.30 per hour (non-exempt - hourly) and considers preferred experience, preferred education, and regional locale pay as described above. Benefits: Medical (HDHP or PPO) Long Term Disability 401k offering up to 6% match Short Term Disability Health Savings Account Dental Flexible Spending Account Vision Dependent Care Account Pet Insurance Life Insurance College Invest plans Annual Wellness Benefits Personal Days Loan Repayment Programs (9) Company Paid Holidays (3) weeks of All Paid Leave (APL) for first 2 years with full-time employment. On-going training & educational opportunities for professional development are also available. Physical demands: Employee must occasionally lift and/or move up to 15 pounds. Employee is frequently required to walk, sit, stand, or kneel and occasionally required to climb or balance and stoop. Must have ability to sit for longer periods at a computer. Employee must be able to travel between Axis locations. Possible potential exposure to communicable disease. The noise level in the work environment is usually moderate. Axis may make reasonable accommodations to enable individuals with disabilities to perform the essential functions. Required Skills: Responsible for monitoring and collecting the aging account receivable of the assigned insurance and maintaining the aging at or below acceptable industry standards. Effectively resolve issues related to the revenue cycle to maximize collections on the assigned insurance. Researching, checking eligibility, verifying benefits, and appealing denied claims in a timely manner established via policy. Work with other offices to obtain necessary information to get claims processed including supporting documentation. Review coding for diagnoses, treatments, and procedures according to the appropriate classification system. Identify and report patterns and trends of denials for root cause analysis by supervisors. Answer incoming patient phone calls, emails, and voicemails with excellent customer service skills. Perform various patient collection duties, generating patient statements, making self-pay phone calls, setting up payment plans, and auditing accounts for bad debt. Update the patient account, note the patient record, to identify any and all actions taken on the account in a timely manner. Maintain strict confidentiality, adhere to HIPAA guidelines and regulations. Ability to work independently on assigned tasks and prioritize tasks. Maintain current knowledge of medical billing and collection practices and timely filing guidelines. Coordination of Benefit, Colorado Behavioral Health Association, and HRSA rules and regulations. Possess understanding and keep updated on EOB , CARC, and RARC codes. Must be well organized and detailed. Additional eligibility requirements: Annual Flu immunization, Annual TB screening About our Axis Health System: We are the leading provider of behavioral health and integrated (primary, dental, and behavioral health) care on the Western Slope of Colorado. We have recovery groups, Medication Assisted Treatment (MAT), specialized mental health outpatient programs, primary care, diabetes education, crisis services, resource navigators, insurance enrollment specialists, tele-video systems to access our locations across the region and more. We work to make sure you have what you need at your fingertips to be successful in your position and support your patient in their road to recovery. Commitment to Pay Standards: We are committed to fair and equitable hiring with salaries based on relevant factors, such as work experience, education, and certification/licensure (rather than wage history). Please visit our website at Axis Health System, All qualified applicants will receive consideration for employment, transfer, or promotion opportunities.

Requirements

High school diploma, or equivalent
2+ years’ experience working in a healthcare billing setting.
Maintain strict confidentiality, adhere to HIPAA guidelines and regulations.
Ability to work independently on assigned tasks and prioritize tasks.
Maintain current knowledge of medical billing and collection practices and timely filing guidelines.
Coordination of Benefit, Colorado Behavioral Health Association, and HRSA rules and regulations.
Possess understanding and keep updated on EOB , CARC, and RARC codes.
Must be well organized and detailed.
Annual Flu immunization
Annual TB screening

Nice To Haves

AA/AS in Healthcare/Accounting/Business, is preferred.
Experience in payer portal use, clearing house edits and claim follow up strongly preferred.
Certification for AAPC, MGMA, AAHAM, HFMA and AHIMA are preferred.

Responsibilities

Responsible for monitoring and collecting the aging account receivable of the assigned insurance and maintaining the aging at or below acceptable industry standards.
Effectively resolve issues related to the revenue cycle to maximize collections on the assigned insurance.
Researching, checking eligibility, verifying benefits, and appealing denied claims in a timely manner established via policy.
Work with other offices to obtain necessary information to get claims processed including supporting documentation.
Review coding for diagnoses, treatments, and procedures according to the appropriate classification system.
Identify and report patterns and trends of denials for root cause analysis by supervisors.
Answer incoming patient phone calls, emails, and voicemails with excellent customer service skills.
Perform various patient collection duties, generating patient statements, making self-pay phone calls, setting up payment plans, and auditing accounts for bad debt.
Update the patient account, note the patient record, to identify any and all actions taken on the account in a timely manner.
Maintain strict confidentiality, adhere to HIPAA guidelines and regulations.
Ability to work independently on assigned tasks and prioritize tasks.
Maintain current knowledge of medical billing and collection practices and timely filing guidelines.
Coordination of Benefit, Colorado Behavioral Health Association, and HRSA rules and regulations.
Possess understanding and keep updated on EOB , CARC, and RARC codes.
Must be well organized and detailed.

Benefits

Medical (HDHP or PPO)
Long Term Disability
401k offering up to 6% match
Short Term Disability
Health Savings Account
Dental
Flexible Spending Account
Vision
Dependent Care Account
Pet Insurance
Life Insurance
College Invest plans
Annual Wellness Benefits
Personal Days
Loan Repayment Programs
(9) Company Paid Holidays
(3) weeks of All Paid Leave (APL) for first 2 years with full-time employment.
On-going training & educational opportunities for professional development are also available.