Pontiac, Michigan
Medical Billing Specialist Job Opening in Pontiac, Michigan - SUMMARY:
The Billing Specialist performs all activity as it relates to The Billing Specialist performs all activity as it relates to the billing of claims for commercial and governmental payers. This may include paper and electronic formats. The Billing Specialist I is also responsible for working in-house system edits, as well as clearinghouse edits, in an effort to ensure claims are billed timely and accurately. The Billing Specialist I may assist with other business office functions as necessary and assigned.
ESSENTIAL FUNCTIONS:
Matches remittances to customer and business partner accounts received through variously approved payment gateways including checks, ACH, wires, credit cards, and cash
Ensures all general ledgers are properly entered on a daily basis and accurately reconciled daily
Accurately post third party payments, adjustments, denials, and patient payments within department mandated time frames
Create and maintain well-documented procedures as relates to daily deposit
Research issues and take corrective action, as appropriate
Apply payments received by various methods (Lockbox, Ach, Wire) in conjunction with daily deposit
Responsible for intercompany transactions dealing with multiple legacy systems
Support billing, as needed, and in areas that do not create internal control conflict
Maintain current knowledge of business office processes, especially in payment posting and charge review along with staying current with Cerner upgrades to ensure accurate daily reconciliation of payments, claims, adjustments and charges
Processing of adjustments related to cash posting discrepancies
Performs other related accounting or administrative duties as assigned
SUPERVISOR and STATUS:
Full-Time Position and reports to Revenue Cycle Manager.
WORKING CONDITIONS:
Work performed in an office and hospital setting.
May be subject to long, irregular hours.
Regularly required to sit, stand, bend, reach, and move about facilities.
Must be able to assist in the handling of large volume phone calls.
Knowledge, Skills, and Abilities:
High School graduate or the equivalent required. College or business school credits preferred
Minimum of 1 years of relevant experience performing medical\Hospital Billing.
Medicare Billing experience Preferred
Ability to multi-task in a fast-paced, deadline-driven environment.
Organizational and time management skills to prioritize heavy individual workload to meet time sensitive deadlines.
Ability to adapt to a high volume work environment.
Excellent data entry skills required, and Knowledge of Microsoft Suites.
Knowledge billing claims in a Critical Access hospital setting and/or Rural Healthcare Clinic setting is preferred.
Knowledge working Medicare claims through the DDE is required.
Job Type: Full-time
Required education:
High school or equivalent
Required experience:
Medical Billing, in a health care facility: 1 year
Required language:
English
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