Medical Billing Specialist - FT

GENERAL DESCRIPTIONThis position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines.ESSENTIAL JOB FUNCTIONSSubmits claims to government and commercial payers according to timely filing requirements.Posts payments and remittance advices in appropriate database(s).Tracks and collects aging accounts receivables.Research claim denials & clearinghouse edits.Completes requests for medical information and other related correspondence.Identifies and analyzes open claims and corrects billing errors.Re-submits claims to insurance carriers as appropriate.Monitors all past due accounts for payment.Contributes to a cohesive departmental unit.Maintains regular and predictable attendance.REQUIRED SKILLSHigh School Diploma or GEDExcellent written and oral communication skillsWorking knowledge of commercial and government insurance plans1-2 years of previous medical billing experienceBasic knowledge of Microsoft OfficeMedical terminologySelf-starter, team player, analytic & problem-solving abilitiesPREFERRED SKILLSBilling and/or coding education or certificationPersonal experience with a disabilityCOMPETENCIESDetail oriented.Maintains HIPAA and other confidentiality requirements.Remains flexible when faced with schedule changes, interruptions, or the need to deal with difficult situations.Demonstrates personal integrity and sound judgement.Works independently or as a team with little guidance.Models professional attitude and demeanor.Demonstrates sound time management and organization skills.WORK ENVIRONMENT & PHYSICAL DEMANDSThis position operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand as necessary.OTHER DUTIESPlease note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.The Whole Person is an equal opportunity employer committed to hiring staff members reflecting the great diversity of our community. Reasonable accommodations will be made upon request. People with disabilities are strongly encouraged to apply.