Newport, Maine
Medical Billing Specialist Job Opening in Newport, Maine - HOMETOWN Health Center , a Federally Qualified Health Center that offers medical, dental, & behavioral health services, has an immediate opening for a Medical Billing Specialist . With offices located in Newport, Pittsfield, Dover-Foxcroft & Dexter, our experienced and compassionate staff strive to provide each and every patient with individual attention, thoughtfulness, and kindness.
POSITION SUMMARY:
The Medical Billing Specialist is responsible for completing charge entries, processing of claims, posting accounts receivable and maintaining patient accounts.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Completes upload of claims for office visits, hospitals and nursing homes; runs missing charge report daily; scrubs charges daily prior to claim submission.
Downloads EFT payments from the clearinghouse.
Completes posting of all patient and insurance payments; follows up on open Insurance claims; works insurance denials after posting of insurance payments.; runs/works claims on hold report; sends electronic insurance claims daily and paper insurance claims weekly; works claims denied by clearinghouse daily; refunds patient and insurance credit balances.
Maintains deposit spreadsheet.
Assists in completion of Medicare quarterly credit report.
Assists patients with statement/account issues; assists patients with Sliding Scale applications and questions.
Works billing tasks in NextGen Worklog.
Works patient collection tasks in NextGen including adding patients to the collections spreadsheet; adjusts accounts that are being sent to collections.
Balances- Monthly Close.
Uploads Patient Statements twice per week and downloads Statement Reports to the Shared drive; correct any errors (incorrect address, etc.).
Processes returned mail.
Works with Manager and outside Credentialing service to resolve any credentialing issues.
Audits Patient Charts as needed to ensure proper charges have been submitted. Works with providers to resolve any documentation or coding issues.
Maintains up to date knowledge of ICD 10 CM and CPT codes.
NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:
Performs other duties as assigned.
COMPETENCIES:
Good organizational skills to handle multiple priorities while remaining professional and calm.
Ability to work with many diverse people and personalities.
Effective telephone skills.
Strong level of confidentiality due to the sensitivity of materials and information handled.
Must able to make suggestions on workflow or system efficiency and effectiveness.
Ability to work independently and be self directed and flexible.
Ability to prioritize.
Ability to perform functions with minimal supervision.
Ability to work at a high-volume level of accuracy.
GENERAL EXPECTATIONS:
Be committed to the mission of the Hometown Health Center.
Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of the healthcare team.
Committed to the constant pursuit of excellence and teamwork in improving the care of the patient and families of Hometown Health Center and the Patient Centered Medical Home Neighborhood.
Be punctual for scheduled work and use time appropriately.
Perform duties in a conscientious, cooperative manner.
Perform required amount of work in a timely fashion with a minimum of errors.
Be neat and maintain a professional appearance.
Maintain confidentiality and protect the Practice by abiding by laws and principles related to confidentiality; keep information concerning Practice Operations, patients and employees confidential.
This position requires compliance with Health Center?s compliance standards, including its Standards of Conduct, Compliance Program, and policies and procedures. Such compliance will be an element considered as part of the regular performance evaluation.
PHYSICAL REQUIREMENTS:
The physical requirements described here are representative of those that must be met by the Incumbent to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to sit and operate a standard computer keyboard and mouse for prolonged periods of time, as well as talk and hear. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 10 pounds. Vision requirements include: close vision, distance vision, depth perception, and the ability to adjust focus; position involves reading multiple handwriting styles.
WORK ENVIRONMENT :
The work environment characteristics described here are representative of those the incumbent encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Work is performed primarily in a busy medical office setting with frequent deadlines; noise level is quiet to moderate. This position requires long periods of VDT exposure with proper office ergonomic mechanics. Work may be repetitive and employee should alternate tasks to avoid injury.
QUALIFICATIONS NEEDED FOR POSITION :
Experience and Skill Requirements: The following experience and skills are considered essential:
Two to three years of experience in medical billing; preferably in an clinical office setting.
Experience with ICD 10 CM,CPT and HCPCS code assignment.
Good organizational skills to handle multiple priorities while remaining professional and calm.
Ability to work with many diverse people.
Effective telephone skills.
Must have the ability to maintain patient confidentiality due to the sensitivity of materials and information handled at all times.
Must be able to make suggestions on workflow or system efficiency and effectiveness.
Ability to work independently and be self-directed and flexible.
Ability to prioritize.
Ability to perform functions with minimal supervision.
Ability to work at a high-volume level of accuracy.
Education Requirements: The following education requirements are considered essential:
Associate's Degree in a related field preferred. High school diploma or equivalent required with course work in medical and coding.
Certified Professional Coder preferred.
HOMETOWN Health Center offers the following employee benefits package:
* Earned benefits time (includes sick, vacation, holiday)
* Health insurance (employer pays 75% of employee's plan and 50% of dependents plan)
* Dental insurance
* Employer Paid Life, Short-Term & Long-Term Disability Insurance
* Supplemental insurances including Cancer, Accident, Specific Illness Insurances, Legal Shield
& Identity Theft protection.
* 401k Plan with up to 5% Employer Match.
* Educational Benefits
* Discount on Verizon services
EOE
Job Type: Full-time
Required education:
Associate
Required experience:
medical billing: 2 years
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