What are the responsibilities and job description for the Billing Specialist position at North Central Medical Supply?
JOB PURPOSE
To accurately bill insurance companies for maximum reimbursement. Support activities that develop, improve, and maintain customer relationships.
JOB DUTIES/RESPONSIBILITIES
- Responsible for completing billing forms, initiates billing transactions with 3rd party payers and managers the payment cycle and follows up on claims.
- Responsible for processing all payer claims.
- Responsible for sending out CMNs and other orders/documents and logging CMNs/documents in Brightree (billing software) upon receipt.
- Enters new patient entry and changes in Brightree.
- Responsible for sending and receiving medical records.
- Responsible for handling past due accounts and collections.
- Responsible for posting accounts receivable.
- Responsible for answering billing questions and responds to requests for additional information from health plans and other payers.
- Identify and determine correct billing status & resolve problems.
- Responsible for claims research.
- Responsible for customer insurance information entry.
- Responsible for verifying insurance coverage.
- Must have knowledge of CPT and ICD9/ICD10 coding.
- Must be able to sit for prolonged hours.
- Maintain housekeeping in your area.
- Responsible for working quietly and efficiently so as to not disturb other employees.
- Authorized to routinely use and disclose standard categories of protected health information for billing purposes as authorized by the governing body.
- Computer security denies access to unauthorized information.
- Responsible for safeguarding the privacy of patient’s health information.
- Must conduct oral discussions of PHI with other staff or with patients and family members in a manner that limits the possibility of inadvertent disclosures.
- Report suspected violations of policies and procedures of business associates and staff members to safeguard PHI.
- Adhere to all confidentiality regulations regarding customer’s information.
- Responsible for confirming assigned orders in a timely manner.
- Responsible for sending prior authorization requests for commercial payers.
- Responsible for handling appeals process for commercial payers.
- Perform any other miscellaneous tasks/duties as assigned or required by management.
SUPERVISORY RESPONSIBILITIES
This job has no supervisory responsibilities.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Must have knowledge of ICD, CPT coding and basic math. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION AND EXPERIENCE
Must have a high school education or GED certificate or 6 months experience and/or training in related field. Must attend continuing education classes as needed for computer updates, insurance, ICD10 and CPT coding, or other skills as requested by management.
Job Type: Full-time
Pay: $17.00 - $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Monday to Friday
- Weekends as needed
Ability to commute/relocate:
- Baxter, MN 56425: Reliably commute or planning to relocate before starting work (Required)
Education:
- High school or equivalent (Preferred)
Experience:
- Medical Billing: 1 year (Preferred)
Work Location: In person
Salary : $17 - $20