Billing Specialist
4 days ago
West Hollywood
Job Description Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development? Here at Men's Health Foundation we envision a world where inequity and stigma do not separate people from healthcare. "Reimagining Healthcare" is our commitment to affirming the unique experience of every patient. We prioritize our patients’ evolving needs and strive to help each patient feel comfortable, understood, and respected. Why Men's Health Foundation? Men's Health Foundation is seeking compassionate, mission-driven individuals. We believe that by reimagining how healthcare is delivered, we can help create greater health equity for those most at risk, breaking down barriers to care. We welcome all backgrounds, gender identities, and expressions. We recognize our staff as the heart of our organization and seek to provide a generous and competitive benefits package to support our employee's well-being. We offer the following: • Medical, Dental, Vision, Life and LTD insurance (may be eligible on the 1st of the month following date of hire), • 12 Paid Holidays (including 1 mental health day), • 401(k) Retirement plan (may be eligible for employer matching up to 4% following completion of 90th day of employment), • Flexible Spending Account (FSA), • 40 hours of sick pay (following completion of 90th day of employment) Job DescriptionOverview Reporting to the Revenue Cycle Manager, the Billing Specialist will process charges as part of the billing function within the organization's established policies. Performs billing functions for the various service components of the Clinics, assists other claims processors as needed; serves as back up for the Billing Manager and runs various financial reports as needed by the CFO. Consistently utilizes and facilitates effective strategies to communicate pertinent information in a timely manner. The Medical Biller works in a team-based model of care. Essential Functions and Responsibilities • Codes such items as invoices, vouchers, expense reports, check requests, etc., with correct codes conforming to standard procedures to ensure proper entry into Allscripts., • Uses critical thinking skills to interpret information furnished in written, oral, diagram, or schedule form and to follow complex dental processes, • Makes sound decisions and sets goals based on available information and evaluates situations and requirements to plan and adjust work accordingly., • Projects accurate future occurrences based on current or historic data., • Strong math skills to add, subtract, multiply, and divide as well as work with fractions and percentages accurately., • Handles all patient requests via phone or email., • Prepares non-inventory purchase order requisitions., • Investigates and resolves problems associated with the processing of charges., • Prepares batch reconciliation reports., • Assists with monthly status reports and monthly closings., • Ensures efficiency, accuracy, and accountability of information and data., • Performs claims processing functions in a timely and accurate manner., • Checks “superbills” for accuracy prior to entering them into the system., • Reviews and, as necessary, corrects data entry and billing errors prior to transmission., • Bills payment source(s) within 48 hours of the patient’s visit., • Posts payment checks to appropriate accounts., • Research payment denials and resubmit for payment as necessary., • Checks count of “superbills” against daily log to ensure that every patient’s visit-related paperwork has been received, posted, and billed, • Prepares month-end reports., • Looks up CPT and ICD-10 codes for accurate coding., • Performs weekly transmission of claims., • Updates daily error reports for clinic/nurse managers. Qualifications • Associate degree (A.A.) or equivalent from a two-year college or technical school;, • Two to three years’ related experience and/or training; or equivalent combination of education and experience., • Proficient in MS Word and Excel Software and tech savvy. Company Requirements • Must be able to pass a pre-employment drug test, physical, and a background check to include a 7-year criminal, 10-year SSN & employer history reference check., • Must be able to provide proof of COVID-19 vaccination on the first day of work., • Excellent interpersonal skills., • Attention to detail., • Must be able to work flexible schedules. Mathematical Skills Ability to calculate figures and amounts such as dollar totals, monetary conversions, discounts, interest, fractions, decimals, percentages, area, and volume. Reasoning Ability An ability to solve technical and practical problems and deal with various intangibles in situations where only limited communication, support, information, and access exist. Ability to interpret various instructions furnished in written, oral, diagram, or schedule form. Computer Skills: Must have good computer skills and be proficient in the use of systems to complete correspondence, documents, spreadsheets and presentations, such as Microsoft Outlook and Office; Word, Excel and PowerPoint, and Adobe Acrobat. Physical Demands: The physical demands described here represent those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is mostly required to sit; use hands to finger, handle, or feel and reach with hands and arms. The employee is constantly required to stand and walk. The employee may be required to climb ladders or stairs, be in high spaces, and/or balance, stop, kneel, crouch or crawl. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is in an office environment, at a workstation, or shared space. The noise level in the work environment is occasionally moderate, with occasionally high volume.