Billing Specialist

Bear River Health Department•Logan, UT

5d•$21 - $24

About The Position

Under the general supervision of the Fiscal Support Officer, responsible for generating and submitting healthcare claims to insurance companies to ensure healthcare providers are reimbursed for their services.

Requirements

High School graduate (or GED) with at least one (1) year of related experience;
Successful completion of one academic year of study above the high-school level in a resident business or secretarial school, junior college or university.
Have considerable knowledge of office methods and techniques
Be skilled in the use of computer programs including word processing, spreadsheets, internet, and email
Have excellent interpersonal and communication skills with the ability to communicate effectively, both orally and in writing
Be able to establish and maintain effective working relationships with coworkers
Be able to maintain a cooperative working relationship with coworkers and those contacted during the workday
Maintain confidentiality of all records and information
Operate standard office equipment
Understand and follow Bear River Health Department policies and procedures.
Be able to pass a full background check and drug screening
Possess or be able to obtain a valid Utah Driver License at the time of employment
Be able to provide your own transportation
Be able to lift 50 pounds and be able to perform strenuous activities requiring flexibility and stamina, and overall general good health
Have a flexible schedule and be available for scheduled work in the evenings and/or weekends and holidays as the job requires.

Responsibilities

Monitor daily charges and payments
Reconcile Medicaid and collection accounts including verifying eligibility and resolving Medicaid issues
Reconcile statements
Account adjustments – itemize accounts, drop encounters, review claims, post accounts, correct billing errors
Call insurance companies and clearinghouse for benefit eligibility, pre-authorization, check claim status, correct rejections and resubmit
Send accounts to collections
Post and balance EFT deposits
Prepare daily reports
Process refunds
Use ICD-10 and CPT codes for claims
Update provider licensing, certifications and credentialing
Obtain contracts and negotiate with insurance companies
Act as a liaison between providers and health plans
Respond to public health emergencies as required.