Medical Billing Associate

Planned Parenthood Association of Utah•Salt Lake City, UT

About The Position

Under the general direction of the Director of Revenue Cycle Management, the Medical Billing Associate helps ensure that Planned Parenthood Association of Utah’s billing department operates efficiently and effectively. The role prepares and submits third-party insurance bills, including Medicaid and private insurance claims; posts payments; and monitors unpaid claims to support timely payment and accounts receivable management. The associate records explanation of benefits (EOB) payment balances to daily deposits, balances payments against account balances, and sends Responsible Collections statements every two weeks. As accounts age, the associate takes appropriate actions, which may include sending statements, adjusting system balances, transferring balances to bad debt, and processing patient refunds. The associate responds promptly to clients’ billing inquiries, resolves questions and concerns, and negotiates payment schedules or other options to reduce overdue accounts. The role works with clinical staff and the finance team, contributes to analysis of revenue cycle data and recommendations for workflow improvements, and incorporates client satisfaction into billing activities. The associate must maintain confidentiality in accordance with HIPAA and PPAU policy.

Requirements

High school diploma or equivalent.
At least 1 year of accounting experience and/or education.
Strong working knowledge of CPT and ICD-10 coding.

Nice To Haves

Spanish-speaking ability is strongly desired but not required.
Experience with Electronic Health Record systems and clearinghouse billing is preferred.
Experience with NextGen or Epic is preferred but not required.

Responsibilities

Prepare third-party billing for Medicaid, private insurance, and other payers.
Ensure billing information is prepared and submitted accurately and promptly, and post payments received.
Monitor unpaid claims and follow up or rebill as needed to support timely payment.
Record EOB payment balances to daily deposits and balance payments with account balances.
Prepare and send Responsible Collections statements bi-weekly.
Take appropriate action on aged accounts, including sending statements, adjusting system balances, changing balances owed to bad debt, and processing patient refunds as needed.
Respond promptly to clients’ billing inquiries and resolve questions and concerns.
Negotiate payment schedules and other options with clients to reduce overdue accounts.
Work with clinical staff to contribute to an effective team.
Incorporate client satisfaction into billing activities.
Participate with the Director of Revenue Cycle Management and finance team in analyzing revenue cycle data and recommending workflow-efficiency improvements.
Maintain confidentiality according to HIPAA and PPAU policy.

Benefits

Affordable medical and dental benefits, including family coverage and employer premium sharing.
Voluntary vision insurance.
Pet insurance.
Accident and identity protection benefits.
Company-paid $150,000 basic life insurance.
Company-paid short-term and long-term disability coverage.
403(b) and Roth plan with a 4% employer match.
Generous paid time off.
13 paid holidays, including a floating holiday and a birthday holiday.
Free CALM App subscription.
Eight weeks of 100% paid parental leave after one year of service.
Unlimited access to the Employee Assistance Plan (EAP).
Option to purchase critical illness insurance and additional life insurance, including spouse and child coverage.