Billing Specialist

divh2Billing Specialist/h2pUnder the direct supervision of the Claims Manager, the billing specialist is responsible for timely and accurate billing of all medical, dental, and behavioral health claims, insurance information, patient charges and payments. The Billing Specialist will work on a team in various aspects of medical, dental, and behavioral health billing. This individual should be resourceful, exceptionally detail-oriented and organized to be successful in this role. Having the ability to focus as well as shift gears as needed when handling competing priorities is required. The Billing Specialist may serve as in a support role within dental registration duties as needed./ppMinimum Qualifications/ppAbility to read, write and comprehend the English language. Communicates effectively. Must be able to sit and stand for long periods of time. Ability to effectively maintain confidentiality of records and communicate with all levels of personnel./pulliExperience: One year of clerical experience in an office setting/liliAdditional skills required: Requires excellent organizational, problem solving and critical thinking skills. Strong basic computer skills required. Able to maintain confidentiality and work collaboratively in a team environment./liliTravel required: Ability to travel to all CRCHC locations and assist at all CRCHC special population clinics./liliAdditional skills preferred: Bilingual in Spanish and English, Intermediate experience using Athena and/or Dentrix EMR systems./liliMinimum of 1 year of coding, billing, and/or charge entry experience in the healthcare field is required/li/ulpEducation: High school diploma or GED. Associates Degree preferred./ppPhysical Requirements:/ppThe physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job./pp Repetitive movement of hands and fingers typing and/or writing./pp Occasional standing, walking, stooping, kneeling, or crouching./pp Reach with hands and arms./pp Talk and hear./ppKey Responsibilities/polliEnter charges transmit clean claims per coding, carrier, and contract guidelines./liliExperience in dental, medical billing and AR oversight/investigation is required for this role./liliAssist patients with billing questions./liliAnswer incoming phone calls./liliClaims filing related to dental, medical, and behavioral health./liliAccurately and efficiently posting/applying payments./liliComplete all Medical and Dental requests for all CRCHC locations in terms of prior authorizations and referrals./liliReview patient chart for records requiring updating and perform necessary updates./liliCreate patient claim, collect payment, and document payment in electronic health record./liliTroubleshooting and follow through for open issues related to unidentified payments, insurance retractions and payment discrepancies./liliAssisting in researching and resolving claim denials, patient refunds, and collections follow-up./liliCompose messages to provider/staff regarding patient communication./liliMaintain a clean, neat, and well-organized work area./liliVerification of patient insurance plans./liliEntering insurance plan information in practice management software./liliParticipate in quality improvement activities by initiating or contributing to monitoring, measuring, analyzing, improving and/or controlling program goals, objectives and/or services./liliMust have Dentrix experience./liliWill post all medical and dental payments into both practice management systems (Athena/Dentrix)/liliBilling Specialist will perform duties of collection on past due accounts for both medical and Dental./liliPerform other duties as assigned./li/olpCRCHC Core Requirements/pp1. Patient Centered Customer Service Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization./pp2. Caring and Compassion We provide empathic comfort to those in distress and share kindness in all interpersonal interactions./pp3. Respectful Communication We communicate openly, honestly and without judgment while honoring everyones uniqueness and assuming the best of those with whom we interact./pp4. Teamwork We are members of a diverse interdisciplinary team working together to meet a common goal./pp5. Accountability We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions./pp6. Customer Safety We recognize and correct potential hazards to protect ourselves and our customers./ppCRCHC provides comprehensive, high-quality primary health care to our patients regardless of ability to pay. As a Federally Qualified Health Center (FQHC), we provide health care to all members of our community, including low income, indigent, and uninsured patients who may not otherwise be able to afford health care via traditional sources. We screen potential employees to first ensure alignment with our core requirements followed by the requisite position skills set. In doing so we need staff committed to this mission who do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve./p/div