Medical Billing & Coding Specialist (HLC)

The Salvation Army USA Central Territory • Indianapolis, IN

4h • 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.
• Must have a valid driver’s license and maintain The Salvation Army Driver’s qualification standard
• 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

Nice To Haves

• Associate or bachelor’s degree strongly preferred.
• Knowledge of medical billing, accounting, and business processes, healthcare and/or non-profit background strongly preferred.
• Must complete Safe From Harm training within the first 90 days of employment.

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

Benefits

• Health, Wellness, RX and PTO benefits
• 91% are proud of their work to help meet the needs of people in their communities
• 75% find their “Work Stress” manageable
• 80% find their managers supportive during those times of stress
• 89% appreciate the flexible work options they have in their position
• 98% appreciate the 11 paid holidays they receive each year
• 4 sicks days as “Discretionary”

What This Job Offers

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