What are the responsibilities and job description for the Medical Billing Specialist position at Sound Family Medicine?
Position Summary:
The Medical Billing Specialist is responsible for review of unpaid or denied insurance claims and follow through with payers to ensure accurate and full reimbursement in a timely manner.
Essential Functions:
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Correcting and resubmitting rejected claims to insurance payors
- Submitting corrected claims and appeals related to denied claims to insurance payors
- Following up with insurance companies and patients regarding outstanding claims
- Taking incoming calls from patients and insurance companies regarding claim questions
- Processing insurance refund requests
- Working in compliance with HIPAA and all applicable laws and regulations
Competencies/Skills:
- Teamwork: Works together to achieve our goals, collaborating to achieve success and respecting our differences as people.
- Communication: Keeps coworkers and management informed and openly offers information in an effective manner. Communicates in a manner that can be understood, both in writing and orally. Can easily be approached by patients, coworkers and managers. Interactively listens and seeks clarification when necessary. Demonstrates effective interpersonal skills, including diplomacy and conflict resolution, and is flexible when dealing with other people and work styles.
- Decision Making/Problem Solving: Able to identify existing or potential problems, gather relevant information, and analyze the information to identify possible causes of problems. Applies knowledge, experience, and common sense and considers alternatives when deciding on the best potential solutions.
- Job Knowledge: Demonstrates clear and thorough knowledge of responsibilities, understands the components of the job and how their job affects their department and the company.
- Dependability: Demonstrates consistent reliability in the work that they produce and the behaviors they display and how it affects the larger picture.
- Productivity: Utilizes time management skills to prioritize tasks based on level of importance and produce the expected volume of work without jeopardizing quality.
- Caring: Treating our patients and our employees with compassionate care, always trying to do what’s best for each individual, for our patient community, and workplace as a whole.
- Patient Focused: Providing the best family medical care to our patients.
- Intentional: Making decisions and behave in a way that ensures the desired outcome is most likely.
- Integrity: Striving to be open and honest and hold ourselves to the highest standards of ethics, honesty, and transparency in everything we do.
Supervisory Responsibilities:
This position does not have any supervisory responsibilities.
Work Environment:
This position will work in an office environment with a moderate noise level. This role will interact with patients, coworkers, venders, and the public. This role will use standard office equipment such as computers, phones, copiers, filing cabinets, and fax machines. Must be able to communicate in fluently in English when writing and speaking.
Physical Demands:
Reasonable accommodations may be made to enable individual with disabilities to perform the physical requirements of this position.
This position is primarily a sedentary role; however, this position needs to file, communicate over the phone and in-person, and use standard office equipment. This position may be required to lift up to 15-20 pounds.
Travel:
Minimal local travel may be needed for this position.
Minimal local travel may be needed for this position.
Education and Experience:
- Education:
- High School Diploma or Equivalent: Required
- Experience:
- 1-year Medical Billing Experience Preferred
- Epic Experience Preferred
Health Requirements:
- Documentation of negative TB test.
- PPD skin test or QuantiFERON test completed within the last calendar year.
- Documentation of MMR or immunity status.
- Documentation of TDaP vaccine within the last 10 years.
- Documentation of influenza for the current year.
- COVID-19 vaccinations
Pay Range:
$20 - $29 DOE
Other Duties:
This is not a comprehensive list of all duties, responsibilities, or activities that may be required for this position. Position requirements including duties, responsibilities, or activities may change at any time, with or without notice.
Sound Family Medicine is a smoke-free, drug-free workplace. All employment offers are conditioned upon acceptable pre-employment drug tests which include testing for the use of marijuana and nicotine. As part of our commitment to a healthy workplace, we require employees to obtain an annual flu immunization as well as all employees be fully vaccinated for COVID-19 by October 18, 2021.
Salary : $20 - $29
