Billing Representative

Title: Billing Representative

OakLeaf Clinics – Business Office has an exciting opportunity to join our growing team as a Billing Representative. We are seeking a highly motivated, reliable, and dependable individual to join our team. This individual must be able to work productively, independently, and effectively.

OakLeaf Clinics provides our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists, and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

Position Description

As a Billing Representative, you are responsible for working the lifecycle of a claim to the highest level and ensuring that all patient information is accurate and up to date within our EHR system. This includes but is not limited to preparing, researching, following up on unpaid claims, processing denials, and researching payer trends. You will review under and overpayments and provide expertise to clients about insurance filing requirements.

Responsibilities:

• Receives notices of claim rejections/denials, clearinghouse and payer portals and then properly track and resolve issues to ensure claim payments in an accurate and timely manner which includes, sorting, scanning, faxing, and loading records on portals.
• Issue electronic and paper billing to ensure the appropriate processing by payers.
• Works with internal and external customers to maintain records to facilitate billing practices accurately, including insurance requirements and payer trends.
• Responsibilities include confirming and validating current insurance coverage.
• Follow up on unpaid claims, process denials, research payer trends.
• Reviewing under and overpayments using our Clearinghouse to find variances, work claim source rejections and send overpayment and under payment appeals to insurances.
• Performs troubleshooting for billing and prior authorization errors.
• Work with other departments in the revenue cycle including customer service, coding, payment posting, credentialing and prior authorization to complete the billing process.
• Notifies the Lead/Supervisor of any late/overdue claims and insurance issues or changes.
• Maintain an approachable and positive attitude when interacting with all levels of personnel in a rapidly changing environment.
• Other duties as assigned.

Qualifications:

• Medical background working in a healthcare environment required.
• Medical coding and/or billing experience preferred
• Possess a thorough understanding of claims management, payer denials and remittance codes.
• Experience and knowledge of insurance payer rules
• Excellent interpersonal skills and comfortable working in a flexible team environment
• Experience working in Epic preferred
• Multi-task quickly effectively in a fast-paced environment
• Must have excellent verbal and written communication skills
• Must have exceptional computer skills and a strong medical terminology background.

Work Environment While performing the duties of this job, the employee regularly works in an office setting.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Major activities of this job include sitting or standing for extended periods of time and light physical effort performed on a level surface. Some carrying, lifting, kneeling, bending, reaching, and squatting are involved in the office. Use a computer and telephone and employ writing and organizational skills. Manual dexterity, mobility and good vision that includes near acuity, depth perception and accommodation are physical requirements necessary for technical work.

Benefits:

OakLeaf Clinics offers a competitive salary and comprehensive benefits package!

• Generous Paid Time Off
• Paid Holidays
• Exceptional Retirement Savings Plan
• Health/Dental/Vision Insurance
• Short-Term and Long-Term Disability Insurance

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Eau Claire, WI 54701: Reliably commute or planning to relocate before starting work (Required)

Experience:

• EMR systems 1 year (Preferred)
• Medical billing: 1 year (Preferred)
• ICD-10: 1 year (Preferred)

Job Type: Full-time

Pay: From $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

Salary : $20