Med Office Billing Rep - Full-time - Day

Job Opportunity At Capital Health

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed minimum pay reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Minimum Pay : $18.21

Position Overview

Provides, elicits, and gathers information to facilitate, expedite, and obtain payment from third party carriers and self paying patients. Performs collection and follow-up activity with insurance companies. Deals with patients by phone or in writing to investigate delayed, partial, or unpaid accounts. Completes necessary billing projects as assigned. Meets internal and external customer expectations.

Minimum Requirements

Education : High school diploma or equivalency.

Experience : One year related experience or training.

Mental, Behavioral and Emotional Abilities :

Usual Work Day : 8 Hours

Essential Functions

• Bills appropriate insurance company or patient according to insurance requirements. Bills remaining balances to secondary insurances or patients as appropriate.
• Posts payments to account upon receipt of explanation of benefits and files explanation of benefits statements according to departmental policy.
• Ensures that proper payment has been received according to contract and reports variances to supervisor.
• Adjusts account balances appropriately. Logs and notes accurately contract allowances, insurance write-offs, and courtesy discounts according to departmental policy.
• Documents and reports declinations of insurance payments to supervisor timely.
• Balances deposits for assigned accounts and deposits in bank according to departmental policy.
• Maintains current knowledge of payer requirements through insurance manuals, bulletins, memoranda, phone calls, and questions to supervisors.
• Demonstrates a comprehensive understanding of team functions and specialized terminology of third party payers. Completes proper documentation of all activity in patient or insurance accounts.
• Reviews all insurance information provided by supervisor to maintain current billing knowledge and documents and reports any discrepancies or declinations to supervisor.
• Completes the required amount of work within a given time frame with minimal oversight. Demonstrates a willingness to adapt to changing departmental demands as new billing duties are required. Completes special assignments and projects with minimal supervision and consistently meets targets. Performs duties quickly and accurately showing attention to details and is sufficiently organized to produce quality work.
• Maintains computer and paper departmental files and logs as directed.
• Forwards necessary documentation with bills as directed by payers, attorneys, and auditing companies according to departmental and CH policy.
• Answers patient and third party payer representative inquiries timely regarding accounts and completes proper documentation of all activity on each account. Answers inquiries by phone, mail, or in person in accordance with departmental standards for customer service.

Physical Demands and Work Environment

Frequent physical demands include : Sitting, Walking. Occasional physical demands include : Standing, Climbing (e.g., stairs or ladders), Carry objects, Push / Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat / kneel / crawl, Pinching / fine motor activities. Continuous physical demands include : Wrist position deviation, Keyboard use / repetitive motion, Talk or Hear. Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs. Sensory Requirements include : Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing.

Anticipated Occupational Exposure Risks Include the following : N / A.

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft.

For benefit eligible roles, in addition to cash compensation, we provide a comprehensive and highly competitive benefits package, with a variety of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, robust PTO plan, overtime to eligible roles, and other benefits, including "elective" benefits employees may select to best fit the needs and personal situations of our diverse workforce.

The pay rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and / or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and / or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.