Medical Billing Specialist

Guild Services • Saint Paul, MN

22d • $23 - $26 • Hybrid

About The Position

The Medical Billing Specialist is responsible for a variety of accounting functions for client billing, including verification of eligibility information, and resolution of a variety of problems. They follow up on submitted claims and patient billing, including resubmitting claims and resolving problems.

Requirements

• Knowledge of medical terminology, medical insurance claims, billing procedures, and documentation.
• Intermediate problem-solving and analytical skills including the ability to research issues and gain additional information in order to resolve issues.
• Ability to communicate and collaborate effectively with external contacts including county financial workers, Department of Human Services help desk, and health insurance companies.
• Capable of setting priorities and meeting deadlines consistently.
• Proficiency with a variety of web-based software and databases, including Microsoft Office Suite, electronic health records systems (Guild uses Credible), electronic health care billing platforms in general, and third-party billing systems.
• High school diploma or GED.
• 1 year of full-time, relevant experience working in medical billing.
• Must not be actively receiving services from Guild and must not have received services within the last two years.
• A valid Class ‘D’ Driver’s License, reliable vehicle, satisfactory driving record and necessary insurance.

Nice To Haves

• Experience using the State of Minnesota website, MN-ITS, the Department of Human Service’s billing system for providers enrolled in Minnesota Health Care Programs (MHCP).
• Prior experience working in collections related to medical billing.
• Post-high school technical training is desirable.

Responsibilities

• Follow up on unpaid or denied claims, verification of eligibility.
• Research and respond by phone and writing to insurance coverage and billing issues.
• Run monthly reports to follow up on claim status with the various payors.
• Verify and ensure current insurance coverage or payment source is updated in the system.
• Collection and accounts receivable responsibility by monitoring and maintaining the receivable aging accounts.
• Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to payers.
• Follow up on submitted claims, monitors unpaid claims, resubmit claims as necessary and communicates with staff regarding billing and collection matters.
• Other duties as assigned
• Special projects as assigned by Billing Manager
• Other Key billing office operations

Benefits

• Guild Services offers a range of benefits, including medical, dental, and vision coverage; flexible spending, HSA, short and long-term disability; Paid Time Off; paid holidays; wellness hours; 403(b); life insurance; and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees