Billing Specialist - Medicaid

Job Description

Job Description

At Terry Reilly we are happy to provide integrated care through our medical, dental and behavioral health services making us a unique team to be a part of in the Treasure Valley.

We believe a healthy community is a thriving community, and our success is a direct result of our mission-driven and talented team.

It is important to us that our staff is given a healthy work-life balance, so we support and value your time in and out of the clinic setting.

With an impressive benefits package for providers including free healthcare options and loan reimbursement grant opportunities, we hope you will consider joining our growing team!

GENERAL RESPONSIBILITIES

Collecting and posting insurance, patient, and vendor payments to patient accounts. Responsible for the billing and collection of selected TR contracts and agreements.

Manages patient information in practice management system as it relates to changes in patient's insurance coverage, including E-Med and Medicaid.

Based upon verification of third-party insurance eligibility, transfer charges in the practice management system from one expected payor to another in order to generate accurate claims and statements.

Makes adjustments as appropriate for OB accounts after delivery and / or due to patient transfer of care. Makes other changes to patient billing information as requested by patient or staff.

MINIMUM QUALIFICATIONS

• Minimum 2 years medical office experience with knowledge of diagnosis (ICD) and / or procedure (CPT) and / or dental (ADA) coding systems.
• Demonstrated knowledge and understanding of Medicare, Medicaid and major insurance carrier regulations, procedures and benefit plans.
• Two or more years experience billing third-party insurances.
• Requires minimal supervision and direction with ability to make sound decisions.
• Highly ethical and non-judgmental.
• Strong customer service skills..
• Able to analyze and resolve problems.
• Ability to effectively communicate and interact with physicians and coworkers, hospital staff, third-party payors, patients and the public.
• Ability to read and follow oral and written instruction.

PREFERRED QUALIFICATIONS

• Five or more years of experience in a medical and / or dental office.
• Experience billing FQHC Medicare and FQHC Medicaid.
• Bilingual in English and Spanish.
• Certified Professional Coder credential.

Terry Reilly Health Services is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected Veteran status.