Medical Billing Specialist-Classic

Job Description:

The Billing and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintain detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation responsible for maintaining and updating billing guidelines, fee schedules, contract rates, etc. Review, document, and resolve all incoming correspondence and payor calls; assist as needed on aging reports, reports all payor issues and/or denial trends to Lead/Supervisor and may appeal and/or rebill underpaid claims and assist with payments, as needed.

Responsibilities:

• Review billing claim forms to ensure fields are accurately populated and aligned.
• Identify and return incomplete claim information and/or supporting documentation to meet payer requirements.
• Initiate contact and respond to inquiries from various external sources.
• Comply with all government and third-party payers regulatory mandated requirements for billing, collections, and PHI.
• Answer questions and assist AR in regard to billing issues as needed.
• Ability to maintain confidentiality of all information under HIPPA guidelines.
• Meet departmental productivity and quality standards in time frame given upon completion of training.

Minimum Qualifications:

• Demonstrated skill to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks.
• High School Diploma or equivalent (GED)
• Ability to execute processes efficiently and maintain highest level of quality.
• Demonstrates ability to identify and communicate issues.
• Computer literacy skills, including Google & Excel spreadsheets and Microsoft Office products
• Enhanced communication and customer service skills

Preferred Qualifications:

• Experience and working knowledge of 1500 claim forms.
• Experience with billing editor systems
• Understanding of the entire revenue cycle process
• Knowledge of Revenue and ICD coding language
• 1-2 years of back-end revenue cycle experience in a facility and hospital setting
• Knowledge of Medicaid and Medicare billing regulations.

Physical Requirements:

• See, read, and/or operate computers, telephones, office equipment, documents, labels, including manipulating paper requiring the ability to move fingers and hands.
• Remain sitting, standing, or walking for long periods of time to perform work on a computer, telephone, or other equipment.
• Frequent interactions with associates and patient care providers that require associate to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations.

Location:

Valley Center Tower

Work City:

Murray

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$19.27 - $29.33

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.