Billing and Insurance Specialist II | 40 hours per week | Clinic Administration

Minimum Hiring Wage

From $20.78 per hour

Job Details

Scheduled Hours: Monday - Friday, Day Shift

Job Description

A Brief Overview

Assists leadership in day-to-day operations. Able to perform electronic billing functions which includes electronically filing claims and maintaining the electronic filing system. Resolves discrepancies in accounting records, resolves credits, verifies accuracy of all billing data, and corrects identified errors. Document and keep records of supporting documentation. Follow-up on outstanding accounts and make proper notations in billing software. Provide guidance by answering questions, evaluating and recommending how outstanding accounts should be further processed, and providing appropriate follow-up. Research accounts and billing issues to assist staff to ensure the account meets satisfactory resolution. Develop processes & workflow changes. Generate reports to verify staff are following proper workflows and provide re-education for deficiencies. Generate numerous reports to provide resolution to outstanding balances, identify billing issues, and monitor AR. Maintain knowledge of current government and/or carrier regulations relevant to industry. Approves adjustments to patient accounts. Performs data entry, adding, calculating, and the operation of computers, equipment, and billing software.

What You Will Do

• Running reports to interpret data, identify issues and re-education opportunities, and work accounts.
• Verify and approve write-ons/write-offs.
• Evaluate accounts to verify accuracy of billing data and claims processing.
• Provide education to staff of proper workflow and processes.
• Research billing issues and payer updates.
• Reassigning queues.
• Resource for billing questions.
• Aging calculations for staff.
• Coordinating with external departments and maintaining shared spreadsheets.
• Develop workflows & notify leadership of discrepancies.
• Perform all other job-related duties as assigned.
  
  

Qualifications

Qualifications

• H.S. Diploma or General Education Degree (GED) Required
• 1-3 years Customer service experience Preferred
• 1-3 years Experience working with computers – Microsoft Word and/or Excel Preferred
• 1-3 years Billing experience Preferred
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, designing forms, and other office procedures and terminology.
• Proficient problem-solving and analytical skills, with the ability to identify and resolve billing discrepancies.
• Ability to handle sensitive and confidential information with professionalism and integrity.
• Exceptional communication and interpersonal skills, with the ability to effectively interact with patients, insurance providers, and internal stakeholders.
• Ability to accept assigned duties in a cooperative manner.
• Working knowledge of office machines, such as copiers, scanners, faxes, phone systems, etc.
• Possesses the ability to make independent decisions when circumstances warrant such action.
• Understanding written sentences and paragraphs in work related documents.
• Knowledge of electronic equipment, and computer hardware and software, including applications and programming.
• Ability to communicate effectively and clearly so others can understand
• Possess excellent time management and organizational skills
• Ability to assess and evaluate, have attention to detail.
• The ability to listen to and understand information and ideas presented through spoken words and sentences.
• The ability to read and understand information and ideas presented in writing.
  
  

Benefits

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

• Competitive base pay
• Matching retirement programs
• Health, Dental and Vision plans
• Health Savings and Flexible Spending Accounts
• Employee discounts including car rental, cell-phone plans
• Employer-paid, Long-Term Disability, Life, and AD&D
• Paid time off (PTO)
• Education Assistance Program
• Employee Assistance Program
• Employee Referral Bonus Program
• Discounted cafeteria meals
• Paid Parental Leave
• Employee Service Recognition program
• Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity
  
  

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.