Medical Billing Specialist
About The Position
The Medical Billing Specialist is responsible for managing the billing and payment activities of multiple programs, clients and/or 3rd party payee accounts. This role serves as a point of contact for clients, internal staff regarding billing-related matters, and occasionally for third-party payers. The role may include seasonal special projects. JFCS is a multi-faceted human services agency dedicated to providing essential services to individuals of all ages and backgrounds, aiming to foster healthy relationships, alleviate suffering, and offer support during times of need. At JFCS, employees can make a positive impact, enjoy a healthy work-life balance, and continuously learn and grow. JFCS is committed to diversity and inclusion, serving and employing individuals from all cultures and faith traditions. All qualified applicants will receive equal consideration for employment regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Requirements
- One to three years of experience with billing in a non-profit setting.
- Experience with electronic health records systems and database programs; Welligent experience is desirable.
- Knowledge of clinical / medical terminology, billing policies, coding, authorizations and an understanding of insurance industry.
- Knowledge of credentialing process and procedures.
- Ability to organize and prioritize multiple tasks and work effectively with interruptions.
- Ability to provide excellent and confidential customer service.
- Strong oral and written communication skills.
- Working knowledge of compliance guidelines, HIPAA, and confidentiality.
- Strong attention to detail and ability to work independently in a fast-paced environment with multiple demands/deadlines.
- High proficiency with Microsoft Office programs, including Word and Excel, and with use of web-based research tools.
- Ability to engage compassionately with people from across all backgrounds, socioeconomic statuses, and mental and physical abilities.
- Ability to maintain effective working relationships with the clinical staff and third-party payers.
- Demonstrated commitment to JFCS’s Values: compassion, inclusion, innovation, integrity, and collaboration.
- Actively contributes to the agency community by participating in committees, work groups, or other collaborative efforts that support agency goals and foster a positive work environment.
- Maintain the highest ethical standards.
- Position requires flexibility in scheduling and carrying out priorities.
- Must be able to effectively handle/manage and resolve stress.
- Must also be able to maintain appropriate professional boundaries.
- The employee must also be able to work effectively with a team of other social work and mental health providers, along with multidisciplinary agency staff.
Nice To Haves
- Welligent experience is desirable.
Responsibilities
- Complete monthly billing for Disability Waivered Services programs through Ramsey and Hennepin Counties, including all waivered services, Rule 185, and VADD TCM.
- Complete admission and discharge of clients for both programs within the EHR system.
- Monitor the MN-ITS mailbox daily for new and updated service agreement letters; enter changes and new authorizations into Welligent.
- Export units of service from Activity Logs in SSIS and enter the units per waivered client in batch to the EHR system.
- Review State and County procedures on an ongoing basis to ensure compliance with requirements.
- Issue monthly client statements.
- Field questions from clients regarding statement balances.
- Accept and apply client payments on a daily/weekly basis.
- Collect needed information for invoices, authorizations and referrals to resolve unpaid claims.
- Process and post adjustments as determined by EHR system for recurring monthly payments and weekly EFTs.
- Enter charges into EHR system for various programs assigned.
- Update client information in a timely manner.
- Coordinate credentialing for clinical staff and agency.
- Maintain database of existing staff to ensure ongoing credentialing requirements are met.
- Other duties as assigned.
Benefits
- Vacation
- Wellness leave (sick time)
- Paid family and medical leave
- Holidays
- Flexible schedule
- Hybrid working schedule with the ability to work from home up to 60% of the time
- Medical insurance
- 401(k) with match
- Life insurance
- Long-term disability insurance
- Vision insurance
- Dental insurance
- Pet insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
