Medical Billing & Coding Specialist (HLC)

The Salvation Army USA Central Territory•Indianapolis, IN

1d•$20•Onsite

About The Position

As the Medical Billing and Coding Specialist, you will perform all aspects of the billing process with insurance companies and other payers, including but not limited to eligibility and benefit verifications, referrals, prior authorizations, claim submissions, appeals, and payment processing …ensuring that the Mission of The Salvation Army is effectively carried out.

Requirements

High School Diploma or equivalent required. Associate or bachelor’s degree strongly preferred.
Position requires a background check to be completed, and all background check results will be reviewed.
Knowledge of medical billing, accounting, and business processes, healthcare and/or non-profit background strongly preferred. A minimum of one to three years of experience in a medical office setting
Must have a valid driver’s license and maintain The Salvation Army Driver’s qualification standard; must complete Safe From Harm training within the first 90 days of employment.
Able to speak, write and understand English in a manner sufficient for effective communication with leadership, field personnel, and clientele.
Computer proficiency with Microsoft products and ability to learn electronic reporting systems.
Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
If in recovery, must demonstrate at least two years of sobriety with evidence of emotional and social stability
Good speaking, hearing and vision ability, and excellent manual dexterity
Lifting, pulling, and pushing of materials up to 25 pounds
May require bending, squatting, walking.
May require standing for extended

Nice To Haves

Knowledge of medical billing, accounting, and business processes, healthcare and/or non-profit background strongly preferred.
Associate or bachelor’s degree strongly preferred.

Responsibilities

Check eligibility and verify benefits for all clinical services
Obtain referrals and pre-authorizations as required for treatment, and follow-up as needed
Review all consumer billing and insurance information, including medical and clinical records, for accuracy and completeness. Obtain any missing information.
Prepare, review, and submit claims both electronically and via paper claims
Follow-up on unpaid claims within the standard billing cycle timeframe
Check each insurance payment for accuracy and compliance with the contract
Call insurance companies regarding any discrepancy in payments if necessary
Identify and bill secondary or tertiary insurances
Research and appeal denied claims
Answer all consumer or insurance inquiries pertaining to assigned accounts
Update software with rate changes
Facilitate client finance orientation
Prepare, review, and submit weekly/monthly reports to leadership
Assist clients with all insurance navigation, including Medicaid enrollment and follow-up
Assist with coverage of the Payment Office
Other tasks as assigned by leadership