Clinic Billing Specialist

Bothwell Regional Health Center • Sedalia, MO

43d • Onsite

About The Position

The Clinic Billing Specialist is responsible for computer and billing systems, for electronic insurance processing and follow-up, & for setting up payment plans and handling collection activities. The Billing Specialist reports directly to the Director of Clinic Financials.

Requirements

• High School education or equivalent with on-the-job training for Clinic specific systems.
• Prefer two to three years’ experience in data processing systems and Medical Office Insurance preparation.
• Demonstrates support for organizational and departmental mission.
• Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives.
• Fosters and promotes teamwork within department and the organization as a whole.
• Works to resolves conflicts constructively and in a timely manner.
• Ability to communicate effectively and simply with every customer and co- worker.
• Ability to display a positive, courteous and friendly attitude toward all contacts.
• Ability to build good relationships with others based upon a sustained effort of mutual support toward common goals.
• Ability to exercise good judgment, reasoning and concentration to detail and to take personal accountabilities for all actions in carrying out job duties.
• Is customer focused and committed to Quality and Process Improvement with a strong desire to provide service excellence.
• Possesses and displays a strong knowledge and understanding of the standards of practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.
• Possesses a vigorous and enthusiastic desire to learn and to grow both personally and professionally, and to improve one's skills in order to deliver the best possible care for our customers.
• Must maintain high level of confidentiality.

Nice To Haves

• Added training in data processing, computer systems and typing is desired.

Responsibilities

• Billing all primary and secondary claims as assigned for all clinics daily reports as assigned.
• Work remittance advices for denials and possible resubmission or corrected claims.
• Respond to patient phone inquiry as needed. Reconcile the account and understand what the balance consists of (i.e. deductible, co-insurance, co-pay, etc.).
• Follow up with insurance payers on claim resolution to have accounts resolved in a timely manner to either zero or self-pay balance.
• Process credit balances as assigned.
• Document in Meditech system an action taken on patient’s account.
• Set up payment plans and/or collect self-pay balances on patient accounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED