Medical Billing and Collections Specialist, Grant Service Specialist II (NCS) - Baltimore City Health Department

THIS IS A NON-CIVIL SERVICE POSITION

POSTING DATE: 10/29/2024

SALARY RANGE: $43,901.00 - $69,639.00 Annually

BACKGROUND CHECK: Eligible candidates under final consideration for appointment to positions identified as positions of trust will be required to complete authorization for a Criminal Background Check and/or Fingerprint screening and must be successfully completed.

PROBATION: All persons, including current City employees, selected for this position must complete a mandatory 6-month probation.

Summary Of Position

The Baltimore City Health Department is currently seeking a Medical Billing & Collections Specialist. This position plays an integral and centralized role in supporting the clinics and program of the Baltimore City Health Department. The ideal candidate will have excellent attention to detail, strong analytical skills, and the ability to effectively communicate any billing findings with the clinics. This is a temporary, grant-funded position with benefits.

Essential Functions

• Responsible for charge and payment corrections.
• Coordinates and clarifies with providers, when necessary, on information that seems incomplete or is lacking for proper account/ claim adjudication.
• Responsible for correcting, completing, and processing claims for all payer codes.
• Analyze and interpret that claims are accurately sent to insurance companies.
• Perform follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports.
• Process appeals online or via paper submission.
• Assist in reconciling deposit and patient collections.
• Assist with billing audit related information.
• Process refund requests.
• Attend provider meetings/workshops when needed.
• Communicate with the Billing Manager to identify and resolve audit review issues.
• Communicate with the various departments, clinics and programs to ensure that the billing process is streamlined.
• Process billing calls and questions from patients and third-party carriers.
• Answer/respond to correspondence related to patient accounts. Is available to answer billing and changes related inquiries by patients, staffs, Managed Care Organization, etc.
• Communicate daily with internal and external customers via phone calls and written communications.
• Identify trends, and carrier issues relating to billing and reimbursements. Report findings to Team Lead and/or Supervisor.
• Research, record findings, and communicates effectively with Manager to achieve optimum performance.
• Maintain patient confidence and protects medical office operations by keeping patient information confidential.
• Perform related duties not listed, if necessary, to accomplish the work of the agency.
  
  

Education And Experience Requirements

EDUCATION: High School Certificate/GED.

AND

EXPERIENCE: Minimum of two years of related experience in experience in a medical office setting and/or experience with an Electronic Medical Record a plus.

Knowledge, Skills, And Abilities

• This role requires flexibility, an extreme attention to detail and the ability to multitask.
• Working knowledge of Epic.
• Knowledge of medical coding.
• Excellent organization and time management skills along with excellent oral and written communication skills.
• Strong team player.
• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision.
• Strong written and verbal communication skills; strong analytical, organizational and time management skills required.
  
  

Benefits

The City of Baltimore offers a generous and competitive benefits package. You can learn about our benefits here:

https://humanresources.baltimorecity.gov/hr-divisions/benefits

Baltimore City Government is an Equal Employment Opportunity Employer, and we are committed to a workplace that values diversity, equity, and inclusion. The City of Baltimore prohibits discrimination on the basis of race, color, religion, age, sex, ancestry, creed, national origin, disability status, genetics, marital status, military service, sexual orientation, gender identity/expression or any other characteristic protected by federal, state or local laws. Applicants requiring accommodations during the hiring process should contact the Department of Human Resources directly. Requests for accommodations should not be attached to the application.

BALTIMORE CITY IS AN EQUAL OPPORTUNITY EMPLOYER