Billing Specialist - Health Equip - FT

Billing Specialist - Health Equip - FT

Performs patient account/billing activities related to admissions, insurance claims preparation, billing, and collection.

The Benefits

Paid Parental Leave

Tuition reimbursement

Paid time off

Holiday premium pay

Shift and weekend differential pay

401k with a 6% employer match

Medical, Dental, and Vision coverage

Employee assistance program

Essential Responsibilities

• Analyzes and reviews claims to ensure that payer-specific billing requirements are met.
• Resolves routine patient billing inquiries and problems.
• Follows up on billing, applying appropriate adjustments as needed.
• Reviews and verifies insurance accounts against program provisions.
• Responds to denials from payers such as invalid diagnosis and procedure codes, contractual arrangements, and medical necessity to ensure required information is transmitted to process payments.
• Responds to patient phone and walk-in inquiries as needed.
• Ensures documentation is complete and timely according to policy and procedures.
• Meets productivity standards.
• Act in accordance with the established mission, vision, and values.
• Abide by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).
• Maintain effective communication and professional working relationships with patients/clients and their representatives, team members, contractors, physicians, peers, outside agencies, and the public.

General Responsibilities

• Perform other duties as assigned.

People Management Responsibilities

Does this position have people management responsibilities?

Yes x No

"Yes" indicates that this position entails overseeing and guiding team members, encompassing employment decisions and/or suggestions, as well as conducting formal performance assessments.

"No" indicates that this position does not involve managing team members.

Minimum Qualifications

Required Education and Experience

• High School diploma or equivalent.
• One year of related experience

Preferred Qualifications

Preferred Education and Experience

• Two years HME/DME knowledge.
• Two years insurance billing experience in the medical field and knowledge of medical terminology.

Knowledge, Skills, and Abilities

• Understands payer contracts and member co-pay and eligibility requirements.
• Excellent phone and customer relation skills.
• Demonstrated ability to communicate effectively.
• Moderate computer knowledge and 10-key skills.
• Written communication skills.
• Ability to identify and seek needed information/research skills.
• Analytical thinking skills.
• Detail oriented.
• Ability to meet deadlines.
• Mathematical skills.

Physical Requirements

With or without accommodation.

Sedentary Work: Occasionally exerting up to 10 lbs - frequently exerting up to 5 lbs. Less than 10% of the day may be standing or walking.

Equal Employment Opportunities

Hutchinson Regional Healthcare System does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, veteran status, or any other status protected by applicable law. It is our policy to provide equal employment opportunities to all qualified individuals and to prohibit discrimination and harassment of any kind.

E-Verify Participation

We participate in E-Verify. We will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the United States. If E-Verify cannot confirm that you are authorized to work, we are required to give you written instructions and an opportunity to contact the Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before we can take any action against you, including terminating your employment. We will only use E-Verify once you have accepted a job offer and completed form I-9.