Billing Specialist

Open Door Health Services•Muncie, IN

20h•Hybrid

About The Position

As a Billing Specialist you will uphold our Mission, Vision, and Values. Under the direction of the Director of Revenue Cycle this position will file appropriate billing forms for private insurance, Medicaid, and Medicare, collects fees that are due, and maintains appropriate records of such transactions. The schedule for this role is Monday - Friday, 8a to 4:30p. This position is located at Open Door Health Service's administration building at 220 S. Walnut St. After successful training and onboarding period, this role has opportunity for hybrid remote work.

Requirements

High School diploma or GED equivalency preferred.
Prefer experience in a billing department of health care facility.
Able to work with a high degree of precision paying attention to detail to achieve the high level of accuracy required.
Good planning and organization skills.
Good problem-solving skills.
Good communication skills and ability to work closely with others and in teams.
Can work under pressure and meet deadlines.
Self motivated and able to work unsupervised.
Aptitude for working with computers.
Good grooming and presentation.
Tact and discretion.
Able to maintain patient confidentiality.
Able to help patients and staff in a friendly and efficient manner.
Able to react calmly and effectively in emergency situations.
Interested in health care procedures.
Willing to continually update skills and knowledge.
Skill in establishing and maintaining effective working relationships with patients, co-workers and the public.
Ability to handle patient phone calls in a timely manner.
Ability to read, understand and respond to detailed oral and written instructions.
Ability to maintain a regular and predictable work schedule.
Ability to understand and respect an individual’s socio-economic status and lifestyle.
Ability to function as a member of a multidisciplinary team.
Ability to work with figures, paying close attention to accuracy and detail.

Responsibilities

Transmit billing for private insurance, Medicaid, and Medicare on semi-weekly basis at minimum.
Keep record of all billing transactions.
Process end of day – deposit slips to balance receivables.
Follow-up on and resolve all rejected claims in a timely matter.
Compile monthly reports on claims transmitted, claims received, review outstanding claims on claims transmitted/received, outstanding bills and insurance claims and other necessary report for the functioning of the financial office.
Download records from hospital EMR for documentation to attach to claims.
Work with our EMR representative to resolve issues
Oral and/or written communication for the purpose of collecting past due balances on patient accounts.
Post all payment received and adjustments to patient accounts in a timely manner.
Post non-patient payments and enter remittance.
Enter correspondence as remittance.
Write off patient charges for bankruptcy and account accordingly.
Add charges back to patient’s claim if bankruptcy is dismissed.
Update patient’s demographics, insurance information and third-party payer information in the computer.
Input information in EMR for outreach events.
Communicate with Provider Representative on regular basis.
Communicate changes in patient’s insurance status to outside lab provider, Lab Corp.
Assist the coding team with dropping claims and projects as needed.
Manage Billing email account and resolve any patient billing issues reported by ODHS staff.
Check billing department voicemail and billing buckets respond appropriately to patient portal.
Follow up and resolve all rejected claims in a timely manner by working on Claims on Hold bucket.
Complies with all agency policies and procedures concerning corporate compliance including privacy of protected health information.
Train PSR staff on an ongoing basis to collect better patient information to ensure proper billing of claims.
You will gather billing information and communicate legal requests as needed.