Medical Billing Specialist

Job Description

Job Description

POSITION SUMMARY :

The Medical Billing Specialist under the supervision of the Accounting Manager (AM) will process billing and payment in Account Receivables.

They will maintain a schedule, ensuring payments are received in a timely manner and provide support to the Accounting Manager for month end and audit preparation.

Primary Responsibilities :

• Ensure successful entry of all medical visits into the practice management, EMR Medical Billing System and additional systems as applicable
• Reconcile all charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, facility, medical service and coding are billed.
• Assist the AM to collect accounts receivable, including the following revenue sources : Medi-Caid, Medicare, PPO, HMO, Private Insurance and all other fee for service revenue.
• Assist the AM as directed to appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.
• Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.
• Submit claims to insurance companies on a daily basis as necessary.
• File all correspondence into patient's chart.
• Audit claims daily to ensure timely collections. Review EOBs as directed to ensure compliance with billing practices.
• Assist with maintenance and tracking of contracts for facility and participating provider agreements for accurate billing
• Follow billing policy guidelines and documented procedures.
• Serve as backup for Accounts Payable processing as needed
• Other duties as assigned.

Knowledge and Skills Requirements :

• Excellent communication and interpersonal skills
• Attention to detail and organizational skills.
• Ability to work harmoniously with a broad range of staff, volunteers, and the community as a representative of Navian Hawaii.
• Demonstrates good judgment in seeking and accepting guidance, facilitates clear and honest communication with other team members.
• Consistently demonstrates ethical conduct and judgment that is in harmony with the mission and values of Navian Hawaii

Experience and Educational Requirements :

• High School Diploma or GED equivalent required.
• Experience in healthcare billing and coding required
• Non-profit administration is ideal.
• Proficient in the use of MS Word, Excel, Outlook, and overall computer skills. GL software knowledge preferred.
• Is knowledgeable of and maintains HIPAA standards of privacy and confidentiality.

Employment Requirements :

All offers of employment at Navian Hawaii are contingent on a candidate's successful completion of certain requirements which include :

• A legally compliant background check
• Drug Screen & Physical Exam
• COVID Vaccination

Why Navian Hawaii?

• Consistent M-F schedule
• Team-oriented, locally run nonprofit where every voice is heard
• Competitive pay with an excellent benefits package
• A flexible organization that supports positive work / life balance
3 days ago